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South Dakota rates for HCPCS 77425

Intraoperative radiation treatment delivery, electrons, single treatment session

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.01 / $260.01 / $260.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.01 / $411.25 / $411.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.41 / $695.01 / $1,126.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,351.47 / $3,351.47 / $3,910.04