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Pennsylvania 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 $661 · 10th–90th $20–$1,8620%20%10th90th$661Professionalmedian $20 · 10th–90th $17–$460%20%10th90th$20$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
$19.95 / $19.95 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $35.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $1,122.02 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $54.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $34.67
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $41.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $47.86 / $70.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $32.36 / $64.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.38 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,096.48 / $1,258.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $42.66