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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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $269.15 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $213.80 / $371.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $380.19
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $117.49 / $169.82