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South Dakota rates for HCPCS 99417

Prolonged Outpatient E/M Service Each 15 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.49 / $25.49 / $31.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $77.43 / $331.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.59 / $54.76 / $68.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $48.10 / $69.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $60.97 / $197.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.88 / $59.95 / $63.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.31 / $41.88 / $59.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.38 / $50.59 / $59.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $53.97 / $66.05
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.10 / $43.40 / $44.80