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South Dakota rates for HCPCS G6010

Radiation treatment delivery, two separate treatment areas, three or more ports on a single treatment area, use of multiple blocks: 20 mev or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.31 / $187.31 / $187.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $156.54 / $187.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.13 / $241.41 / $241.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.15 / $264.55 / $428.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $302.32 / $420.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.38 / $302.32 / $385.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.02 / $302.32 / $474.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.98 / $309.14 / $334.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.92 / $235.75 / $400.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $364.70 / $364.70