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South Dakota rates for HCPCS 77373

Stereotactic Body Radiation Delivery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.72 / $1,693.72 / $2,440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.15 / $2,318.57 / $2,898.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.06 / $2,207.38 / $2,903.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.61 / $2,701.03 / $3,232.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.55 / $1,898.65 / $2,226.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.35 / $1,799.01 / $2,765.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.70 / $2,127.90 / $2,127.90