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South Dakota rates for HCPCS 97152

Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with the patient, each 15 minutes

Facilitymedian $29 · 10th–90th $14–$340%20%40%10th90th$29Professionalmedian $14 · 10th–90th $14–$980%20%40%90th$14$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $66.07 / $83.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $41.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $91.20 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $61.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02