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South Dakota rates for HCPCS 77620

Hyperthermia Intracavitary Probes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.46 / $671.46 / $671.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.50 / $571.50 / $671.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.11 / $1,478.48 / $1,848.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.89 / $965.84 / $1,083.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.00 / $925.80 / $1,140.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.48 / $1,140.68 / $2,142.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.00 / $1,140.68 / $1,741.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.60 / $912.51 / $1,223.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.00 / $763.75 / $1,140.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.90 / $1,371.70 / $1,371.70