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South Dakota rates for HCPCS 90962

Esrd Related Svc Monthly 20&/>Yr Old 1 Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $166.28 / $228.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.11 / $350.54 / $522.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.13 / $340.94 / $468.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.13 / $309.39 / $1,352.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.69 / $392.29 / $497.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.38 / $368.63 / $469.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.08 / $301.12 / $393.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.88 / $300.58 / $400.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.70 / $458.40 / $458.40