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South Dakota rates for HCPCS 90947

Dialysis Oth/Thn Hemodialy Repeat Phys/Qhp Evals

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.01 / $120.30 / $277.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.77 / $237.50 / $307.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.02 / $203.71 / $314.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.35 / $217.78 / $1,165.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.38 / $255.52 / $307.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.00 / $243.44 / $310.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.02 / $199.61 / $234.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.35 / $201.78 / $261.11
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.70 / $273.70 / $273.70