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South Dakota rates for HCPCS 99345

Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.

Facilitymedian $339 · 10th–90th $191–$9120%10%10th90th$339Professionalmedian $200 · 10th–90th $135–$2820%10%20%10th90th$200$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $218.78
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $371.54 / $457.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $295.12 / $912.01
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $338.84 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $269.15 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $380.19 / $549.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $295.12