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South Dakota rates for HCPCS 97546

Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)

Facilitymedian $65 · 10th–90th $47–$1200%20%10th90th$65Professionalmedian $56 · 10th–90th $42–$660%10%20%10th90th$56$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $56.23 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $81.28 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $74.13 / $120.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $69.18