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South Dakota rates for HCPCS 96164

Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes

Facilitymedian $10 · 10th–90th $8–$160%20%10th90th$10Professionalmedian $9 · 10th–90th $7–$170%10%20%10th90th$9$10.0$20.0$50.0

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
$8.91 / $8.91 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.95 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.00 / $17.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $12.88 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $25.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $24.55
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $16.22