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Ohio 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 $28 · 10th–90th $23–$760%20%10th90th$28Professionalmedian $26 · 10th–90th $22–$430%10%20%10th90th$26$0.5$2.0$10.0$50.0

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 / $32.36 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $34.67
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
$22.39 / $28.84 / $45.71
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $29.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $39.81 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $53.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $51.29
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
$28.84 / $28.84 / $28.84
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $45.71