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South Dakota rates for HCPCS 77409

Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 11-19 MeV

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.03 / $415.78 / $519.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.08 / $154.08 / $168.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $215.73 / $368.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $224.33 / $318.02