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South Dakota rates for HCPCS 90951

End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.05 / $1,256.74 / $1,256.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.88 / $1,922.79 / $2,938.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,099.60 / $2,123.89 / $2,472.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.45 / $1,631.41 / $8,114.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.40 / $2,214.92 / $2,884.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.60 / $1,882.84 / $2,408.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.85 / $1,581.79 / $2,238.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.58 / $1,631.41 / $2,312.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.19 / $2,608.80 / $2,608.80