go back

South Dakota rates for HCPCS 92612

Flexible endoscopic evaluation of swallowing by cine or video recording;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.38 / $220.90 / $220.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.29 / $161.81 / $220.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.49 / $182.01 / $529.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.63 / $221.29 / $373.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.51 / $377.66 / $1,237.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.22 / $355.82 / $482.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.30 / $275.91 / $493.11
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $241.60 / $372.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.05 / $365.04 / $425.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.30 / $137.50 / $415.10