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Extended Clinical Staff Time During an Office Visit

South Dakota rates for HCPCS 99415

This covers additional time that clinical staff, such as a nurse, spend directly with a patient during an office visit, beyond what a typical visit usually requires, while a physician remains available for supervision. It is billed in addition to the main visit when extra hands-on staff time is needed to complete the care being provided.

Facilitymedian $19 · 10th–90th $14$360%20%10th90th$19Professionalmedian $15 · 10th–90th $8$300%10%20%10th90th$15$10.0$20.0$50.0$100.0

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
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$12.88
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$32.36
Typical High
$48.98
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$39.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$13.80
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$39.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$19.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$26.30
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.45
Typical High
$41.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.20
Typical High
$30.20