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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.03 / $208.03 / $252.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.50 / $320.63 / $320.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.67 / $411.21 / $614.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.40 / $411.21 / $638.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.18 / $410.55 / $466.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.82 / $351.16 / $585.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.70 / $484.30 / $484.30