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South Dakota rates for HCPCS G0090

Individ. Psychotherapy Interactive 20-30 Minute Home Visit Evaluation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.82 / $419.34 / $419.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.25 / $525.96 / $554.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.68 / $679.08 / $1,918.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.55 / $614.19 / $1,034.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.96 / $525.96 / $916.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.65 / $635.65 / $916.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.55 / $545.33 / $908.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00