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South Dakota rates for HCPCS 94681

Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $52.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $104.71 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $87.10 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $114.82 / $117.49
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.95 / $22.39 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $104.71 / $104.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $77.62 / $93.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $14.79 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $87.10 / $117.49
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $112.20