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South Dakota rates for HCPCS 90952

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 2-3 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
$734.35 / $919.61 / $919.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.41 / $1,307.66 / $1,809.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.28 / $1,421.22 / $1,909.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.16 / $852.62 / $5,352.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.66 / $1,383.33 / $2,022.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.43 / $1,063.10 / $1,448.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.15 / $845.52 / $994.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.28 / $922.28 / $922.28