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Pennsylvania 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
$147.91 / $204.17 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $338.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $309.03 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $302.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $162.18 / $229.09
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $218.78 / $1,862.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $371.54
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $151.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $134.90 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $630.96 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $257.04