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South Dakota rates for HCPCS 77414

Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 MeV

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.58 / $554.63 / $693.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.74 / $191.74 / $215.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $286.08 / $491.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.85 / $298.98 / $423.49