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South Dakota rates for HCPCS 77401

Radiation treatment delivery, superficial and/or ortho voltage, per day

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $123.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $53.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $67.61 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $44.67 / $52.48