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South Dakota rates for HCPCS 99392

Periodic comprehensive preventive medicine reevaluation 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, established patient; early childhood (age 1 through 4 years)

Facilitymedian $100 · 10th–90th $63$1740%10%20%10th90th$100Professionalmedian $141 · 10th–90th $72$2630%5%10%10th90th$141$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $75.86 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $144.54 / $263.03
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $141.25 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $102.33 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $173.78 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $147.91 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $138.04 / $234.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $208.93
Wellmark
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $128.82 / $186.21