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South Dakota rates for HCPCS 77404

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 11-19 MeV

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.04 / $303.30 / $379.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $156.22 / $268.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.92 / $164.54 / $231.04