Tynbil: Know the *real* price for healthcare services

South Dakota rates for HCPCS 99325

Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. 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 of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver.

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $157.88 / $169.59	Professional	$135.66	$157.88	$169.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.86 / $120.86 / $120.86	Facility	$120.86	$120.86	$120.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $124.14 / $196.43	Professional	$84.33	$124.14	$196.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.31 / $97.81 / $133.32	Professional	$94.31	$97.81	$133.32