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South Dakota rates for HCPCS 94011

Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $91.00 / $91.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $86.74 / $91.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.15 / $170.29 / $212.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $141.15 / $239.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.28 / $153.99 / $533.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.12 / $180.85 / $214.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.76 / $177.56 / $214.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.60 / $138.02 / $164.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $151.09 / $191.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $186.20 / $193.60