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New Hampshire 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
$198.68 / $198.68 / $198.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.24 / $153.21 / $162.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.97 / $215.30 / $349.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.90 / $220.21 / $370.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.08 / $237.39 / $466.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.66 / $229.05 / $415.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.42 / $119.26 / $151.79