go back

South Dakota rates for HCPCS 94621

Cardiopulmonary Exercise Testing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.52 / $72.52 / $72.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.76 / $164.25 / $256.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.51 / $66.53 / $103.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.26 / $325.22 / $406.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.57 / $136.09 / $170.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.10 / $285.39 / $982.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.04 / $124.93 / $428.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.86 / $307.69 / $394.06
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.91 / $256.25 / $301.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.36 / $109.98 / $129.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $261.36 / $343.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.04 / $117.09 / $146.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.80 / $345.60 / $359.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.10 / $148.30 / $154.30