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South Dakota rates for HCPCS 77525

Proton Tx Delivery Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.17 / $2,554.17 / $2,554.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.49 / $2,326.32 / $2,907.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.74 / $1,819.27 / $4,302.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.78 / $2,107.92 / $2,521.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.16 / $2,289.59 / $3,989.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.43 / $2,521.58 / $3,189.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.57 / $1,414.00 / $2,324.67