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South Dakota rates for HCPCS 90955

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 2-3 face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.38 / $946.62 / $1,159.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.69 / $1,060.19 / $1,285.41
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.85 / $751.42 / $1,007.87