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South Dakota rates for HCPCS 90945

Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,424.14 / $9,424.14 / $9,424.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $85.92 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.61 / $175.87 / $223.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $143.60 / $217.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.90 / $149.62 / $746.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.05 / $176.12 / $213.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $167.25 / $213.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $138.41 / $166.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.63 / $137.15 / $180.62
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.40 / $193.80 / $193.80