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South Dakota rates for HCPCS G0426

Telehealth Consultation Emergency Department Or Initial Inpatient Typically 50 Minutes Communicating With The Patient Via Telehealth (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $129.60 / $142.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.38 / $176.72 / $210.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.79 / $234.03 / $293.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.53 / $240.21 / $827.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $222.42 / $302.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.83 / $215.99 / $279.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $221.36 / $251.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.97 / $240.21 / $282.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.10 / $189.60 / $189.60