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South Dakota rates for HCPCS 77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

Facilitymedian $832 · 10th–90th $195$9770%20%40%10th90th$832Professionalmedian $115 · 10th–90th $66$1780%20%10th90th$115$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $831.76 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $114.82 / $134.90
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $602.56
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $199.53 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $173.78 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $316.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $117.49 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $128.82 / $181.97
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61