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South Dakota rates for HCPCS 94150

Vital capacity, total (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $25.63 / $43.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $53.04 / $66.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.76 / $36.65 / $62.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $44.93 / $206.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.08 / $49.04 / $62.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $47.46 / $62.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $41.06 / $49.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.06 / $44.93 / $62.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $56.40 / $58.60