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Iowa rates for HCPCS 94011

Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age

Facilitymedian $158 · 10th–90th $91–$3630%20%10th90th$158Professionalmedian $100 · 10th–90th $78–$2090%20%10th90th$100$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $89.13 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $173.78 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $147.91 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $165.96 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $169.82 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $199.53 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $131.83 / $169.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $295.12 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $229.09
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $158.49 / $186.21