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South Dakota rates for HCPCS 77469

Intraoperative Radiation Treatment Management

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.07 / $323.07 / $323.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.91 / $473.64 / $767.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.04 / $692.41 / $1,101.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.58 / $535.04 / $629.42