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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

Facilitymedian $32 · 10th–90th $20–$520%20%40%10th90th$32Professionalmedian $30 · 10th–90th $15–$340%20%10th90th$30$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $32.36 / $54.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $58.88 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $81.28