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South Dakota rates for HCPCS G6016

Compensator-based beam modulation treatment delivery of inverse planned treatment using three or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $724.44