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South Dakota rates for HCPCS 90970

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older

Facilitymedian $15 · 10th–90th $9–$220%10%10th90th$15Professionalmedian $10 · 10th–90th $7–$200%10%10th90th$10$10.0$20.0$50.0

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
$7.08 / $8.91 / $16.60
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $25.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $21.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.59 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $21.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $21.88