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South Dakota rates for HCPCS G0086

Limited (30 minutes) care management home care plan oversight. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $74.23 / $74.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.74 / $74.23 / $79.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.38 / $101.72 / $101.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.74 / $77.59 / $134.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $129.33 / $472.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.42 / $122.37 / $172.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.72 / $126.29 / $188.08
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.17 / $107.07 / $143.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.35 / $138.56 / $150.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.30 / $108.20 / $108.20