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South Dakota rates for HCPCS 77403

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 6-10Mev

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.67 / $272.27 / $340.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $140.51 / $240.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.92 / $147.40 / $206.59