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South Dakota rates for HCPCS 99395

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; 18-39 years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.68 / $85.68 / $117.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.48 / $185.06 / $299.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.87 / $182.00 / $253.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.14 / $144.80 / $205.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.13 / $214.24 / $732.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.88 / $174.71 / $237.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.93 / $172.20 / $228.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.28 / $165.61 / $227.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.99 / $187.74 / $232.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.60 / $152.40 / $209.60