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South Dakota rates for HCPCS 99375

Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.49 / $75.93 / $90.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.30 / $177.67 / $229.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.44 / $171.22 / $383.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $177.34 / $202.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.76 / $159.18 / $255.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.86 / $170.10 / $255.75
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.54 / $127.43 / $189.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.77 / $165.92 / $202.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.70 / $123.30 / $149.69