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South Dakota rates for HCPCS 90792

Psychiatric diagnostic evaluation with medical services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.20 / $151.91 / $190.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $183.06 / $368.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.27 / $346.86 / $436.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.34 / $186.26 / $321.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.68 / $254.00 / $1,234.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.27 / $272.91 / $467.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $248.18 / $304.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.59 / $239.04 / $375.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $208.91 / $362.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.40 / $238.20 / $296.30