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Doctor Review Of At-Home Breathing Test Data

Wisconsin 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 $30 · 10th–90th $23$910%10%20%10th90th$30Professionalmedian $27 · 10th–90th $22$740%10%20%10th90th$27$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
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$34.67
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$60.26
Typical High
$79.43
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$51.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$28.18
Typical High
$57.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$45.71
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$48.98
Network Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$38.02
Typical High
$63.10
Quartz
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$57.54
Typical High
$81.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$154.88
Typical High
$154.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$125.89
Typical High
$177.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Security Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Security Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$77.62