go back

South Dakota rates for HCPCS G6011

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $616.60