go back

South Dakota rates for HCPCS 99403

Prev Med Cnsl&/Rsk Fctr Rdctj Indv Approx 45 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $71.67 / $86.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $82.68 / $162.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.51 / $143.30 / $192.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.33 / $125.11 / $155.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.17 / $159.84 / $546.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.09 / $145.87 / $175.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.55 / $134.46 / $169.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.52 / $129.68 / $165.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.61 / $144.22 / $173.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.80 / $125.60 / $152.40