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Doctor Review Of At-Home Breathing Test Data

Utah rates for HCPCS 94016

A doctor reviews and interprets breathing measurements that a patient recorded at home over about a month, typically to monitor a condition such as asthma. This covers only the physician's review of the data, not the home recording device or the recording itself.

Facilitymedian $28 · 10th–90th $28$330%50%90th$28Professionalmedian $26 · 10th–90th $22$450%10%20%10th90th$26$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
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$52.48
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$43.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$33.11
Typical High
$63.10
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$44.67
Typical High
$63.10
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$36.31
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$42.66