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South Dakota rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $194.98 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $51.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $34.67 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98