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South Dakota rates for HCPCS G0175

Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.39 / $376.39 / $376.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $65.91 / $376.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.54 / $247.54 / $247.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $111.39 / $636.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.54 / $247.54 / $247.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.78 / $247.54 / $253.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.82 / $425.82 / $425.82