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Utah rates for HCPCS 94200

Maximum breathing capacity, maximal voluntary ventilation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $21.88 / $36.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.00 / $3.98 / $6.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $15.85 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $27.54 / $36.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.69 / $5.75 / $10.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.02 / $20.42 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $38.02
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $102.33 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.99 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.88 / $4.68 / $38.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.49 / $19.95 / $42.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $26.30 / $36.31
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.45 / $4.90 / $8.91
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.59 / $21.38 / $23.99
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $22.91 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $23.99 / $38.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.82 / $5.25 / $8.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $18.62 / $30.20