go back

South Dakota rates for HCPCS 94012

Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $354.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $194.98 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $338.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $288.40 / $288.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $218.78 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $316.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $316.23