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South Dakota rates for HCPCS 77412

Radiation Treatment Delivery 1 Mev => Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.26 / $868.85 / $1,327.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.33 / $250.26 / $330.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.91 / $530.58 / $663.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.33 / $352.08 / $570.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $474.46 / $581.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.10 / $476.08 / $757.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.00 / $551.13 / $693.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.85 / $263.56 / $373.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.86 / $316.31 / $547.94
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.40 / $488.70 / $488.70