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South Dakota rates for HCPCS G9685

Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. This service is for a demonstration project

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.44 / $170.44 / $170.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.15 / $170.44 / $170.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.38 / $203.39 / $251.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.12 / $231.78 / $375.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.40 / $261.20 / $418.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.48 / $271.05 / $351.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.48 / $321.37 / $497.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.92 / $304.64 / $358.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.29 / $335.70 / $418.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00