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Indiana rates for HCPCS 94016

Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional

Facilitymedian $33 · 10th–90th $26–$580%20%10th90th$33Professionalmedian $25 · 10th–90th $22–$450%20%10th90th$25$20.0$50.0$100.0

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
$22.91 / $22.91 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $23.99 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $33.11 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $28.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $39.81 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.30 / $39.81