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South Dakota rates for HCPCS C1719

Brachytherapy Source Non-Stranded Non-High Dose Rate Iridium-192 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $45.76 / $45.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $216.80 / $216.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.44 / $366.39 / $594.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.75 / $846.75 / $987.88