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South Dakota rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,821.91 / $15,821.91 / $15,821.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,821.91 / $19,968.25 / $19,968.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,179.13 / $26,440.92 / $32,723.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,625.33 / $33,746.36 / $54,713.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,227.65 / $26,227.65 / $30,598.93