go back

South Dakota rates for HCPCS 94012

Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.66 / $147.66 / $147.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.18 / $141.37 / $147.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $277.07 / $346.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.89 / $220.00 / $391.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.04 / $249.97 / $871.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.27 / $296.13 / $348.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.56 / $289.44 / $348.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.88 / $224.36 / $272.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.04 / $250.99 / $313.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.20 / $302.60 / $314.70