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South Dakota rates for HCPCS 94016

Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional

Facilitymedian $26 · 10th–90th $22–$580%20%10th90th$26Professionalmedian $26 · 10th–90th $22–$520%10%20%10th90th$26$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $23.99 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $51.29 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $40.74 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $47.86 / $47.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $40.74 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $54.95