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South Dakota rates for HCPCS 90964

Esrd Svc Home Dialysis Full Month 2-11 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.52 / $559.39 / $559.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.59 / $909.50 / $1,317.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.97 / $945.37 / $1,204.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.54 / $829.39 / $3,786.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.79 / $1,085.08 / $1,280.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $958.08 / $1,212.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.24 / $778.05 / $998.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.96 / $770.45 / $1,027.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.50 / $1,164.20 / $1,164.20