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South Dakota rates for HCPCS 79300

Radiopharmaceutical therapy, by interstitial radioactive colloid administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $158.49 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $346.74 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $371.54 / $371.54