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South Dakota rates for HCPCS 96113

Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $54.02 / $67.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.26 / $109.97 / $130.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.75 / $350.50 / $374.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.83 / $115.92 / $127.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.84 / $73.09 / $106.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.64 / $110.57 / $129.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.09 / $95.40 / $109.80