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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.)

Facilitymedian $95 · 10th–90th $83$1320%50%10th90th$95Professionalmedian $95 · 10th–90th $79$1700%10%20%10th90th$95$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$95.50
Typical High
$199.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$169.82
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$281.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$151.36