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South Dakota rates for HCPCS 77403

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

Professionalmedian $275 · 10th–90th $178$3470%20%10th90th$275$100.0$200.0

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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $275.42 / $346.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $177.83 / $208.93