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South Dakota rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $18.98 / $18.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $34.47 / $44.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $29.42 / $46.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $31.36 / $162.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.27 / $37.47 / $44.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.11 / $35.51 / $44.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.59 / $33.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $29.46 / $37.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $39.20 / $39.20