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Massachusetts rates for HCPCS 94013

Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age

Facilitymedian $89 · 10th–90th $12–$1,0000%10%20%10th90th$89Professionalmedian $24 · 10th–90th $17–$480%10%20%10th90th$24$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $40.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $60.26 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $912.01 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $35.48 / $63.10
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $17.78 / $75.86
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $46.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $60.26 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $676.08 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $56.23