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South Dakota rates for HCPCS G6012

Radiation Treatment Delivery 3 Or More Separate Treatment Areas Custom Blocking Tangential Portswedges Rotational Beam Compensators Electron Beam; 6-10mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.33 / $224.68 / $387.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.88 / $321.08 / $321.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $403.03 / $561.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.98 / $403.03 / $631.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $375.77 / $445.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.22 / $320.58 / $534.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.30 / $485.00 / $485.00