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South Dakota rates for HCPCS 90959

Esrd Related Svc Monthly 12-19 Yr Old 1 Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.19 / $349.69 / $349.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.79 / $596.03 / $832.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.29 / $546.55 / $755.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.08 / $498.24 / $2,326.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.12 / $671.40 / $802.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.50 / $593.23 / $755.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.04 / $484.47 / $629.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.16 / $485.62 / $644.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.60 / $733.60 / $733.60