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South Dakota rates for HCPCS 90791

Psychiatric Diagnostic Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.53 / $280.57 / $287.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.14 / $163.18 / $382.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $209.92 / $262.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.78 / $170.04 / $287.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.47 / $200.86 / $1,103.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.12 / $200.86 / $378.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.71 / $202.49 / $315.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.23 / $212.93 / $328.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.04 / $181.00 / $300.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.19 / $208.10 / $263.10