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New York 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 $34 · 10th–90th $21–$580%20%10th90th$34Professionalmedian $28 · 10th–90th $21–$780%20%10th90th$28$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
$25.70 / $33.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $42.66
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $35.48 / $79.43
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $36.31 / $51.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $29.51 / $51.29
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $35.48 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $36.31 / $162.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $100.00
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $61.66