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South Dakota rates for HCPCS 77522

Proton Tx Delivery Simple W/Compensation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,620.00 / $7,620.00 / $7,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.37 / $1,840.74 / $2,300.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.08 / $1,414.82 / $2,294.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.12 / $1,670.92 / $4,792.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.16 / $1,781.21 / $3,104.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.47 / $1,957.43 / $2,476.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.76 / $1,109.58 / $1,792.94