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South Dakota rates for HCPCS 90954

End-stage renal disease (ESRD) related services monthly, for patients 2-11 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

Facilitymedian $1,820 · 10th–90th $955–$2,3440%10%20%10th90th$1,820Professionalmedian $1,000 · 10th–90th $759–$1,9500%20%10th90th$1,000$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,000.00 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,659.59 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,819.70 / $2,344.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,288.25 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,380.38 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,318.26 / $2,187.76
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $2,238.72