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South Dakota rates for HCPCS 77435

Stereotactic Body Radiation Management

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.09 / $649.09 / $649.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.03 / $619.41 / $1,168.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.68 / $1,473.05 / $1,841.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.81 / $950.79 / $1,546.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.66 / $1,189.96 / $1,696.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.20 / $1,447.97 / $2,203.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.35 / $1,451.36 / $1,688.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.15 / $1,070.10 / $1,258.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.95 / $771.86 / $1,247.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.20 / $1,410.90 / $1,410.90