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South Dakota rates for HCPCS 94690

O2 Uptake Exp Gas Analysis Rest Indirect Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.87 / $3.87 / $3.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.63 / $54.14 / $82.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.18 / $101.89 / $127.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.29 / $91.30 / $442.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $98.68 / $110.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $79.73 / $93.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.36 / $6.05 / $7.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.60 / $81.51 / $108.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $107.50 / $111.80