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South Dakota rates for HCPCS 99396

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; 40-64 years

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $97.72 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $186.21 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $173.78 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $123.03 / $218.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $213.80 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $251.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $281.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $147.91 / $234.42
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $165.96 / $223.87