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South Dakota rates for HCPCS 90913

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code for primary procedure)

Facilitymedian $30 · 10th–90th $22–$450%20%10th90th$30Professionalmedian $29 · 10th–90th $21–$480%10%20%10th90th$29$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
$22.91 / $22.91 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $151.36 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $60.26 / $79.43
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $66.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $81.28
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $58.88