go back

South Dakota rates for HCPCS G6009

Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks: 11-19 mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.75 / $188.38 / $281.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.13 / $245.16 / $245.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.89 / $302.32 / $422.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.93 / $302.32 / $476.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.98 / $310.99 / $336.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.51 / $241.34 / $402.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.89 / $370.50 / $370.50