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South Dakota rates for HCPCS G2009

Comprehensive (60 minutes) in-home visit for an existing 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
Professional
Modifier
Low / Median / High Price
$128.82 / $144.54 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $239.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $295.12 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $295.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $380.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $251.19