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South Dakota rates for HCPCS A4714

Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon

Facilitymedian $3 · 10th–90th $2–$50%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$320%50%90th$2$2.0$5.0$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
$2.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $3.39 / $5.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $31.62 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $60.26
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57