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South Dakota rates for HCPCS G6013

Radiation Treatment Delivery 3 Or More Separate Treatment Areas Custom Blocking Tangential Ports Wedges Rotational Beam Compensators Electron Beam; 11-19mev

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.24 / $252.90 / $388.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.00 / $322.50 / $322.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.97 / $403.59 / $561.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $403.59 / $632.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.63 / $413.01 / $446.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.42 / $321.01 / $535.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.10 / $487.20 / $487.20