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South Dakota rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $8.72 / $8.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.72 / $9.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.57 / $13.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $15.85 / $29.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $16.48 / $69.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $14.79 / $20.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $14.18 / $18.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $14.51 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $15.26 / $19.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $14.80 / $14.80