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South Dakota rates for HCPCS 99396

Periodic Preventive Med Est Patient 40-64yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $140.94 / $140.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.80 / $201.00 / $334.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.67 / $195.12 / $268.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.70 / $157.13 / $217.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $227.70 / $785.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.42 / $189.81 / $252.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.46 / $241.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.03 / $179.84 / $241.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.43 / $206.28 / $246.68
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.19 / $165.50 / $222.70