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South Dakota rates for HCPCS 99421

Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes

Facilitymedian $13 · 10th–90th $11–$260%10%10th90th$13Professionalmedian $15 · 10th–90th $10–$330%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $25.12 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $17.78 / $26.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $24.55 / $93.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.50
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $32.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.62 / $21.88