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South Dakota rates for HCPCS G6015

Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.39 / $394.52 / $603.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.75 / $499.69 / $499.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.37 / $546.23 / $733.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.50 / $546.23 / $966.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.42 / $591.79 / $682.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.86 / $536.19 / $777.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.70 / $756.20 / $756.20