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South Dakota rates for HCPCS 95923

Testing Autonomic Nervous System Function

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.09 / $48.09 / $48.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $148.08 / $335.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.92 / $47.21 / $68.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.36 / $105.15 / $128.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $250.94 / $310.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.20 / $90.93 / $112.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.22 / $160.01 / $198.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $245.29 / $944.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.93 / $91.86 / $386.24
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.96 / $176.11 / $782.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.05 / $262.74 / $398.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.02 / $200.29 / $313.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.12 / $72.04 / $84.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.17 / $125.96 / $237.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.08 / $241.21 / $297.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.52 / $87.34 / $114.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.96 / $150.94 / $199.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.50 / $288.20 / $288.20
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.40 / $106.90 / $106.90
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.10 / $181.20 / $181.20