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South Dakota rates for HCPCS 77404

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev

Professionalmedian $309 · 10th–90th $200$3890%20%10th90th$309$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
$281.84 / $309.03 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $199.53 / $229.09