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South Dakota rates for HCPCS 94200

Maximum breathing capacity, maximal voluntary ventilation

Facilitymedian $2 · 10th–90th $2$20%50%$2Professionalmedian $15 · 10th–90th $3$330%5%10th90th$15$2.0$5.0$10.0$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
26
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $30.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$10.96 / $15.14 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $31.62 / $39.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$4.37 / $5.25 / $7.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $26.30 / $33.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $162.18
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $7.59 / $53.70
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $28.18 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $51.29
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $9.33 / $10.96
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$32.36 / $36.31 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $45.71
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.75 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $36.31 / $36.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $37.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.09 / $5.13 / $9.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.11 / $51.29
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$3.80 / $6.92 / $10.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $26.92 / $40.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.11 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $5.89 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $27.54 / $28.18