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South Dakota rates for HCPCS 90953

Esrd Related Svc Monthly <2 Yr Old 1 Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.44 / $613.16 / $613.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.15 / $871.35 / $1,205.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.21 / $946.75 / $1,273.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.69 / $722.12 / $3,895.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.01 / $922.39 / $1,346.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.41 / $708.90 / $965.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.53 / $667.51 / $849.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.33 / $628.33 / $628.33