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South Dakota rates for HCPCS 90963

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.75 / $1,101.84 / $1,382.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.68 / $1,260.83 / $1,495.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.36 / $892.93 / $1,165.07