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South Dakota rates for HCPCS 97116

Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)

Facilitymedian $112 · 10th–90th $37$1350%10%20%10th90th$112Professionalmedian $28 · 10th–90th $18$500%10%10th90th$28$20.0$50.0$100.0$200.0$500.0

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
$72.44 / $112.20 / $151.36
Aetna
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$112.20 / $112.20 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $50.12
Aetna
Facility/Professional
Professional
Modifier
CQ
Typical Low / Median / Typical High
$17.78 / $29.51 / $43.65
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $38.90
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $134.90
Medica
Facility/Professional
Facility
Modifier
CQ
Typical Low / Median / Typical High
$56.23 / $56.23 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $97.72
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $64.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $70.79
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $40.74 / $47.86