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Ohio 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 $24 · 10th–90th $18–$590%20%10th90th$24Professionalmedian $25 · 10th–90th $17–$460%20%10th90th$25$0.2$1.0$5.0$20.0$100.0$500.0

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
$18.20 / $23.99 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $22.91
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $30.90 / $58.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $28.18 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $891.25 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $42.66