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South Dakota rates for HCPCS 94200

Maximum breathing capacity, maximal voluntary ventilation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $40.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.00 / $3.02 / $8.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $12.88 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $39.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.98 / $5.13 / $6.61
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $26.30 / $33.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $36.31 / $162.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.68 / $7.59 / $53.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.98 / $28.18 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $40.74 / $51.29
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.31 / $8.51 / $10.96
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $32.36 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $45.71 / $45.71
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.75 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $36.31 / $36.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $37.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.09 / $5.13 / $9.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $22.91 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $33.88 / $53.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.27 / $7.24 / $11.48
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $26.92 / $41.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $34.67
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.01 / $5.25 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $24.55 / $28.18