go back

New Hampshire 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $36.31 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $37.15 / $61.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $27.54 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $30.20 / $53.70
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.85 / $22.91