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South Dakota rates for HCPCS 90969

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age

Facilitymedian $28 · 10th–90th $16–$400%10%10th90th$28Professionalmedian $17 · 10th–90th $14–$320%10%20%10th90th$17$20.0$50.0$100.0

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
$12.88 / $15.85 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $28.18 / $39.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $123.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $34.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.12 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $24.55 / $37.15
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $38.02