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South Dakota rates for HCPCS G2011

Alcohol And/Or Substance (Other Than Tobacco) Misuse Structured Assessment (E.G. Audit Dast) And Brief Intervention 5-14 Minutes (Revised 10/01/2020)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $16.39 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $22.50 / $26.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.11 / $46.09 / $103.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $26.66 / $30.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $20.52 / $31.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $32.45 / $32.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.10 / $23.70 / $24.40