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South Dakota rates for HCPCS G9481

Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved CMS Innovation Center Demonstration Project, which requires these three key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $15.91 / $15.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $15.80 / $16.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $23.44 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.53 / $16.27 / $35.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $30.22 / $113.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $25.71 / $41.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $29.66 / $45.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.57 / $25.56 / $34.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $30.22 / $35.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $25.80 / $25.80