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South Dakota rates for HCPCS 90956

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 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.73 / $374.06 / $374.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.75 / $643.95 / $892.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.19 / $584.23 / $811.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.25 / $534.23 / $2,488.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.58 / $724.21 / $857.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.55 / $639.42 / $811.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.74 / $524.50 / $674.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.79 / $515.85 / $687.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.10 / $785.70 / $785.70