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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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.81 / $381.75 / $742.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $498.75 / $498.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.88 / $545.66 / $732.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.89 / $545.66 / $964.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.12 / $589.53 / $680.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.34 / $441.90 / $697.24
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.29 / $753.30 / $753.30