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South Dakota rates for HCPCS 97750

Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.92 / $30.92 / $30.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $24.30 / $35.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $36.28 / $90.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.30 / $34.90 / $76.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $32.94 / $82.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.65 / $51.27 / $58.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $43.02 / $67.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $52.71 / $66.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $31.74 / $68.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $46.70 / $54.90