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South Dakota rates for HCPCS 99307

Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $30.90 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $33.88 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $91.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $50.12 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $57.54 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $66.07 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $74.13 / $93.33