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South Dakota rates for HCPCS G9488

Remote In-Home Visit For The Evaluation And Management Of An Established Patient For Use Only In A Medicare-Approved Cms Innovation Center Demonstration Project Which Requires At Least 2 Of The Following 3 Key Components: A Detailed History; A Detailed Examination; Medical Decision Making Of Moderate Complexity. Typically 25 Minutes Are Spent With The Patient Or Family Or Both Via Real Time Audio And Video Inter- Communications Technology (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.23 / $49.23 / $49.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.82 / $49.23 / $56.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.10 / $58.91 / $82.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.75 / $78.06 / $109.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.25 / $96.69 / $349.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.19 / $92.15 / $127.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.64 / $91.62 / $103.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $90.73 / $106.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.39 / $90.85 / $108.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $80.40 / $80.40