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South Dakota rates for HCPCS 77386

Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.15 / $1,573.90 / $1,967.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.28 / $544.84 / $2,630.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.37 / $663.80 / $784.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.48 / $724.85 / $1,180.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.06 / $784.14 / $1,006.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.86 / $445.25 / $698.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.47 / $578.47 / $578.47