Iowa, South Dakota

Wellmark BCBS fee schedule, by CPT code.

Wellmark Blue Cross and Blue Shield (Iowa / South Dakota) publishes the rate it negotiated with your practice every month, by NPI. We read that file and give you the number — for a single code free, or for your whole code list across every payer you contract with on a paid plan.

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What you get

The number, and everything behind it.

Negotiated rate

The exact dollar Wellmark BCBS negotiated for a CPT code and your NPI — the genuinely negotiated figure, chosen by a fixed rule, not the “derived” line beside it.

Network & setting

Which Wellmark BCBS network the rate sits in (an HMO and a PPO product can pay differently), and that it’s the in-office professional rate.

Provenance

The source file and its “as of” month, linked — so the number survives being questioned by a contracting manager.

Across your payers

On a paid plan, Wellmark BCBS becomes one column of a sheet next to every other payer you take, with underpayment checks and change alerts.

Also in Iowa, South Dakota

The other payers we read here.

AetnaCigna