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South Dakota rates for HCPCS 77520

Proton Tx Delivery Simple W/O Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.83 / $1,579.83 / $1,579.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.41 / $1,791.87 / $2,239.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.23 / $1,411.74 / $3,293.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.13 / $1,670.92 / $4,779.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.48 / $1,776.71 / $3,096.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.51 / $1,959.06 / $2,477.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.12 / $1,095.24 / $1,792.94