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South Dakota rates for HCPCS G6004

Radiation Treatment Delivery Single Treatment Area Single Port Or Parallel Opposed Ports Simple Blocks Or No Blocks: 6-10mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.62 / $114.62 / $137.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $176.25 / $176.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.84 / $220.12 / $307.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.51 / $220.12 / $347.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.26 / $206.47 / $244.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $175.88 / $293.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.80 / $266.80 / $266.80