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South Dakota rates for HCPCS 0403T

Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $31.16 / $33.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $25.31 / $29.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.79 / $32.46 / $62.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $112.33 / $199.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.36 / $41.55 / $61.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $41.55 / $45.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $69.05 / $69.05