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South Dakota rates for HCPCS 90912

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $70.79 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $112.20 / $186.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $69.18 / $117.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $269.15 / $512.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $162.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $102.33 / $177.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.62 / $147.91