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South Dakota rates for HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.28 / $544.25 / $544.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.41 / $157.96 / $231.69
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$157.24 / $157.24 / $157.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.60 / $185.97 / $264.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.40 / $303.79 / $359.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.44 / $298.27 / $1,045.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.40 / $278.73 / $386.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.88 / $270.91 / $344.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.48 / $281.39 / $320.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.04 / $285.43 / $331.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.80 / $241.80 / $241.80