go back

South Dakota rates for HCPCS 94617

Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.57 / $34.57 / $34.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.70 / $95.90 / $149.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.67 / $31.69 / $48.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.51 / $188.43 / $235.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.03 / $64.90 / $81.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $162.88 / $560.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.44 / $59.00 / $201.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.29 / $188.40 / $231.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.91 / $147.37 / $173.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.24 / $51.14 / $60.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.93 / $154.44 / $201.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.64 / $54.87 / $70.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.00 / $198.80 / $206.70
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.60 / $69.00 / $71.70