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South Dakota rates for HCPCS G2004

Comprehensive (60 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
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $177.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $147.91 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $302.00 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $302.00 / $302.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $218.78 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $316.23 / $380.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $229.09 / $229.09