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South Dakota rates for HCPCS 90966

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.77 / $239.49 / $351.79
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$119.75 / $157.94 / $157.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.89 / $488.80 / $752.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.69 / $493.09 / $681.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.24 / $414.27 / $1,893.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.30 / $552.12 / $723.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.29 / $478.21 / $607.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.54 / $396.89 / $569.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.68 / $390.93 / $660.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.29 / $663.50 / $663.50