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Illinois rates for HCPCS 94012

Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $144.54 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $338.84 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $562.34 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $309.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $309.03 / $467.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $169.82 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $575.44 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $269.15