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South Dakota rates for HCPCS G9187

Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $51.90 / $52.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $67.50 / $68.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.86 / $77.76 / $85.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.51 / $85.27 / $117.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.63 / $59.64 / $87.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.86 / $78.00 / $85.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.70 / $67.70 / $69.70