go back

South Dakota rates for HCPCS 94016

Patient-Initiated Spirometric Phys/Qhp R&I Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.46 / $26.46 / $26.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $24.26 / $37.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $49.55 / $61.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.79 / $41.00 / $64.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $45.57 / $178.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $51.89 / $61.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $50.42 / $60.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $39.59 / $46.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.68 / $41.57 / $53.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $53.40 / $55.50