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South Dakota rates for HCPCS G2015

Comprehensive (60 minutes) home care plan oversight. 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.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $87.10 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $141.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $95.50 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $169.82 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $169.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $186.21 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $151.36