go back

South Dakota rates for HCPCS 90958

End-stage renal disease (ESRD) related services monthly, for patients 12-19 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
$439.11 / $537.78 / $537.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.69 / $833.59 / $1,271.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.79 / $908.85 / $1,102.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.30 / $762.35 / $3,624.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.03 / $1,014.44 / $1,232.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.22 / $877.11 / $1,115.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.72 / $718.63 / $963.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.73 / $740.99 / $987.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.20 / $1,123.50 / $1,123.50