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South Dakota rates for HCPCS 90961

End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month

Facilitymedian $490 · 10th–90th $282–$6760%10%10th90th$490Professionalmedian $331 · 10th–90th $224–$7080%10%10th90th$331$200.0$500.0$1.0K

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
$223.87 / $316.23 / $707.95
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $457.09 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $489.78 / $776.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $676.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $398.11 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $660.69