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Indiana 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
$128.82 / $128.82 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $144.54 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $660.69 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $138.04 / $158.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $112.20 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $229.09