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South Dakota rates for HCPCS 99484

Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.47 / $31.01 / $41.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $32.39 / $47.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $100.97 / $126.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.37 / $44.23 / $65.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.59 / $266.08 / $321.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.74 / $79.58 / $109.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $70.56 / $90.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $64.83 / $97.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.40 / $91.38 / $91.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.50 / $62.40 / $79.90