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South Dakota rates for HCPCS G2003

Moderate (45 minutes) in-home visit for a new patient postdischarge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than nine times.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.67 / $112.67 / $112.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.63 / $109.25 / $113.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.13 / $166.41 / $166.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.34 / $113.46 / $241.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.58 / $215.11 / $768.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.71 / $205.35 / $284.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.16 / $213.99 / $321.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $174.11 / $233.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.58 / $215.11 / $255.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $176.00 / $176.00