go back

South Dakota rates for HCPCS 90999

Unlisted dialysis procedure, inpatient or outpatient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.97 / $486.46 / $2,035.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.00 / $672.00 / $1,214.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.19 / $530.19 / $530.19