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Peritoneal Dialysis Physician Evaluation (Per Day)

South Dakota rates for HCPCS 90947

A physician's evaluation of a patient receiving a dialysis treatment method other than standard hemodialysis, most often peritoneal dialysis, billed for a single day rather than as part of a monthly bundle. It reflects multiple evaluations by the physician during that day's dialysis-related care, rather than just one.

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $117$3160%10%10th90th$204Professionalmedian $186 · 10th–90th $120$2750%10%20%10th90th$186$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$194.98
Typical High
$309.03
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$229.09
Typical High
$229.09