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South Dakota rates for HCPCS 99387

Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.14 / $122.14 / $163.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.34 / $136.93 / $260.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.75 / $254.49 / $361.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.72 / $213.29 / $284.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.61 / $297.99 / $1,021.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.00 / $249.25 / $329.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $245.42 / $317.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.66 / $235.47 / $315.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $278.12 / $322.82
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.40 / $216.70 / $290.60