go back

South Dakota rates for HCPCS 99381

Initial Preventive Medicine New Patient <1year

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.40 / $73.40 / $110.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $108.15 / $288.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $158.47 / $243.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $130.63 / $192.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.26 / $198.81 / $685.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.88 / $149.41 / $221.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.38 / $147.50 / $211.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.38 / $140.38 / $208.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.66 / $195.47 / $238.52
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.20 / $129.19 / $195.30