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South Dakota rates for HCPCS C2645

Brachytherapy Planar Source Palladium-103 Per Square Millimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $16.22 / $26.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $8.21