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South Dakota rates for HCPCS G0439

Annual Wellness Visit Includes A Personalized Prevention Plan Of Service (Pps) Subsequent Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.83 / $233.64 / $292.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $123.88 / $130.06
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$120.01 / $120.01 / $127.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.36 / $146.58 / $184.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.36 / $219.41 / $283.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.84 / $202.20 / $818.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.01 / $217.85 / $304.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $183.10 / $235.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $193.49 / $252.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.12 / $193.60 / $227.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $190.60 / $190.60