go back

South Dakota rates for HCPCS 77401

Radiation Tx Delivery Superficial&/Ortho Volta

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.30 / $96.96 / $121.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $45.64 / $54.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $55.23 / $121.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.14 / $59.32 / $79.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $45.64 / $49.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.80 / $89.20 / $89.20