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South Dakota rates for HCPCS 99304

Initial Nursing Facility Care Sf/Low Mdm 25 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.44 / $62.83 / $73.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.52 / $83.98 / $125.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.37 / $165.67 / $177.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.59 / $163.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.23 / $118.04 / $189.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.45 / $158.00 / $171.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.43 / $160.59 / $228.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.91 / $131.86 / $155.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.58 / $119.34 / $189.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $117.00 / $117.00