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South Dakota rates for HCPCS G6003

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.76 / $139.76 / $162.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $217.50 / $217.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.65 / $300.70 / $405.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.88 / $300.70 / $408.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.34 / $262.25 / $309.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.55 / $350.76 / $350.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.80 / $329.10 / $329.10