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South Dakota rates for HCPCS G6001

Ultrasonic guidance for placement of radiation therapy fields

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.56 / $32.56 / $32.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $59.96 / $302.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.12 / $28.10 / $50.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.88 / $204.90 / $253.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.63 / $44.53 / $44.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.53 / $128.88 / $219.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.08 / $58.31 / $84.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.56 / $128.88 / $408.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.37 / $256.10 / $343.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.61 / $51.31 / $61.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $215.70 / $219.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.08 / $50.08 / $70.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $385.00 / $385.00
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.50 / $68.90 / $68.90