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South Dakota rates for HCPCS 77422

High Energy Neutron Radiation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.27 / $73.69 / $92.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.67 / $77.67 / $201.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.35 / $123.35 / $123.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $81.20 / $310.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.33 / $54.54 / $250.92