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Wisconsin 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 / $147.91 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $416.87 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $309.03 / $407.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $158.49 / $275.42
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $158.49 / $316.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $239.88 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $275.42 / $398.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $870.96 / $870.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $630.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $208.93 / $426.58