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South Dakota rates for HCPCS 99155

Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.17 / $86.17 / $86.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $86.17 / $123.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.40 / $164.26 / $202.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.37 / $114.27 / $180.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.70 / $147.99 / $285.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.49 / $177.10 / $201.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $173.55 / $187.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.27 / $137.31 / $159.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.47 / $147.99 / $181.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.00 / $150.69 / $150.69