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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
$130.12 / $130.12 / $130.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.27 / $139.28 / $162.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.90 / $177.90 / $343.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $160.28 / $239.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.04 / $157.55 / $176.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $144.94 / $181.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.91 / $157.91 / $157.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.72 / $182.45 / $269.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.61 / $160.09 / $237.51