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South Dakota rates for HCPCS 97155

Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $32.36 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $19.50 / $33.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $87.10 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $48.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $53.70 / $87.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81