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South Dakota rates for HCPCS 77523

Proton treatment delivery; intermediate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.01 / $2,616.01 / $2,870.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.40 / $2,184.37 / $2,730.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.65 / $1,646.48 / $3,882.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.95 / $1,918.71 / $5,573.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.16 / $2,072.08 / $3,606.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.24 / $2,268.31 / $2,869.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.43 / $1,285.15 / $2,058.80