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South Dakota rates for HCPCS 94070

Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.83 / $29.83 / $29.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.67 / $63.95 / $264.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.64 / $28.86 / $65.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.03 / $36.33 / $62.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.42 / $132.60 / $165.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.08 / $55.83 / $69.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.01 / $76.77 / $95.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $106.37 / $717.26
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.78 / $51.37 / $330.63
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.36 / $55.00 / $563.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.75 / $117.05 / $153.53
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $97.47 / $122.91
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.14 / $44.54 / $52.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.33 / $51.32 / $70.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.72 / $100.93 / $126.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.78 / $51.37 / $60.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.49 / $53.31 / $71.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.80 / $140.90 / $146.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.10 / $60.10 / $62.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.70 / $80.80 / $84.10