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Michigan 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
$162.18 / $162.18 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $173.78 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $371.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $398.11 / $501.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $208.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $165.96 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $371.54 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $245.47