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South Dakota rates for HCPCS 77407

Radiation Tx Delivery 1 Mev => Intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.38 / $188.38 / $188.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.44 / $157.44 / $188.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.75 / $558.50 / $698.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.08 / $266.07 / $430.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.60 / $354.28 / $434.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.10 / $414.89 / $574.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $434.79 / $520.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $224.71 / $433.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $236.18 / $402.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $514.79 / $514.79