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South Dakota rates for HCPCS 90964

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents

Facilitymedian $955 · 10th–90th $490–$1,2020%20%10th90th$955Professionalmedian $550 · 10th–90th $437–$1,0000%10%20%10th90th$550$500.0$1.0K$2.0K

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
$407.38 / $512.86 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $954.99 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $954.99 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $3,801.89
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,174.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,174.90 / $1,174.90