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South Dakota rates for HCPCS 77424

Intraoperative radiation treatment delivery, x-ray, single treatment session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $380.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78