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South Dakota rates for HCPCS 94726

Plethysmography for determination of lung volumes and, when performed, airway resistance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.85 / $12.85 / $12.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.63 / $56.38 / $192.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.24 / $15.68 / $37.75
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$25.12 / $28.49 / $30.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.39 / $43.86 / $147.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.58 / $119.34 / $149.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.88 / $23.73 / $29.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.64 / $95.61 / $119.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.39 / $90.17 / $346.85
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.57 / $21.80 / $74.58
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.70 / $69.19 / $272.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.34 / $104.13 / $135.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.92 / $86.45 / $109.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.89 / $19.25 / $22.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.91 / $66.14 / $87.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.63 / $96.46 / $159.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.34 / $22.13 / $32.09
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.70 / $69.19 / $99.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.20 / $126.10 / $131.10
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.10 / $26.00 / $27.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.10 / $100.10 / $104.10