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South Dakota rates for HCPCS 77789

Surface application of low dose rate radionuclide source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.59 / $61.59 / $61.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.31 / $97.33 / $117.09