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South Dakota rates for HCPCS G6014

Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.73 / $252.90 / $386.50
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 / $403.59 / $562.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.89 / $403.59 / $629.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.63 / $410.55 / $444.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.43 / $321.44 / $535.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.70 / $484.30 / $484.30