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South Dakota rates for HCPCS 99204

Office/Outpatient New Moderate Mdm 45 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.93 / $130.63 / $153.69
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$382.19 / $382.19 / $382.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.61 / $162.44 / $414.90
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$125.14 / $248.78 / $423.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.58 / $272.58 / $375.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.87 / $199.81 / $282.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $299.27 / $1,041.60
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$252.75 / $313.39 / $450.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.00 / $257.43 / $323.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.59 / $244.35 / $315.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.40 / $245.23 / $326.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.95 / $188.95 / $188.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.26 / $267.47 / $316.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.80 / $207.70 / $262.89