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South Dakota rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $14.82 / $14.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $144.65 / $144.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.19 / $244.46 / $396.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.54 / $104.54 / $121.96