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Unlisted Lung Service Or Procedure

South Dakota rates for HCPCS 94799

Used when a lung or breathing service does not match any of the standard named ones, whether it is a measurement, a procedure, or a treatment. The clinician files a written account of what was done and why, which is then judged against the closest named services. Because it stands in for work with no standard name of its own, what was actually done varies from one patient to the next.

Rates data updated July 2026.

How much rates vary

Facilitymedian $347 · 10th to 90th $331 to $363Professionalmedian $56 · 10th to 90th $24 to $56
$50.0$100.0$200.0facility $347professional $56

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$346.74
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$89.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99