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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.)

Professionalmedian $158 · 10th–90th $132$2820%10%20%10th90th$158$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$154.88
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$1,096.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$295.12
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$234.42
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$251.19