go back

South Dakota rates for HCPCS 94727

Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes

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
$41.15 / $45.27 / $75.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.24 / $11.79 / $18.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.92 / $32.90 / $57.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $94.22 / $117.77
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
$50.91 / $70.48 / $88.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.27 / $73.34 / $277.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.19 / $22.14 / $74.58
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.17 / $51.55 / $203.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $83.36 / $105.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.06 / $69.04 / $87.33
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
$36.04 / $48.74 / $64.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $78.42 / $92.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.34 / $22.14 / $26.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.93 / $56.28 / $74.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.10 / $100.10 / $104.10
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
$63.00 / $74.20 / $77.09