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South Dakota rates for HCPCS 97130

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $14.95 / $15.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $15.19 / $21.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $22.19 / $36.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.07 / $20.50 / $25.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $136.29 / $138.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $32.76 / $46.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $33.25 / $37.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $27.22 / $46.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.70 / $41.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.70 / $31.40 / $34.10