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Texas 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
$104.71 / $125.89 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $676.08 / $1,288.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $218.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $269.15 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,096.48 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $158.49 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $147.91 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $114.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $229.09 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $169.82 / $309.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $186.21 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $338.84 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $158.49 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $117.49 / $144.54