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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
$25.12 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $25.12 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.95 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $30.90 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $38.02 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $57.54 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $50.12 / $50.12
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $39.81 / $56.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $58.88