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South Dakota rates for HCPCS Q5003

Hospice care provided in nursing long-term care facility (LTC) or nonskilled nursing facility (NF)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.72 / $132.65 / $137.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.71 / $147.71 / $147.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.65 / $222.61 / $265.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $134.13 / $134.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.71 / $147.71 / $147.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $147.71 / $151.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00