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South Dakota rates for HCPCS 94681

O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.24 / $10.24 / $10.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $52.26 / $53.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $101.20 / $126.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $95.18 / $619.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $104.02 / $123.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.93 / $79.19 / $93.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.11 / $15.40 / $18.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.48 / $95.18 / $114.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.80 / $106.80 / $111.10