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Utah 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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $33.11 / $48.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $954.99 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $95.50
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $33.88 / $47.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $27.54 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $25.70 / $42.66