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South Dakota rates for HCPCS G0396

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.59 / $33.59 / $36.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $31.60 / $38.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.88 / $43.59 / $52.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.74 / $33.59 / $62.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.46 / $80.56 / $399.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $50.46 / $80.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.10 / $52.90 / $63.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $43.68 / $67.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $67.27 / $69.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $46.70 / $53.00