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South Dakota rates for HCPCS 77787

Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.36 / $1,704.99 / $2,131.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.55 / $1,011.55 / $1,011.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.05 / $1,489.34 / $1,524.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.20 / $1,270.06 / $1,471.06