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South Dakota rates for HCPCS C1716

Brachytherapy Source Non-Stranded Gold-198 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.38 / $184.38 / $184.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.38 / $221.34 / $221.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.66 / $374.06 / $606.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.50 / $1,302.50 / $1,519.58