go back

Utah 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
$125.89 / $147.91 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $104.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,174.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $251.19 / $346.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $162.18 / $239.88