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South Dakota rates for HCPCS 99251

Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 20 minutes are spent at the bedside and on the patient's hospital floor or unit.

Insurance Carrier
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $50.53 / $54.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $78.84 / $82.00