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South Dakota rates for HCPCS C2636

Brachytherapy Linear Source Non-Stranded Paladium-103 Per 1 Mm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $53.24 / $53.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $89.98 / $145.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.37 / $79.37 / $92.59