go back

Washington 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 / $288.40 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $407.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $218.78 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $87.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $269.15 / $295.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $398.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $891.25 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $213.80 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $134.90 / $223.87