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South Dakota rates for HCPCS G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment

Facilitymedian $182 · 10th–90th $126$3020%10%10th90th$182Professionalmedian $155 · 10th–90th $107$3090%10%10th90th$155$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $141.25 / $302.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $204.17 / $213.80
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $194.98 / $363.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $263.03 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $239.88 / $389.05
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $371.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $239.88 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $295.12