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Utah rates for HCPCS 94200

Max Breathing Capacity Maximal Voluntary Ventj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.36 / $6.36 / $6.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.87 / $23.37 / $32.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.75 / $4.87 / $6.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$11.11 / $18.37 / $24.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.11 / $27.58 / $34.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.18 / $5.91 / $8.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.96 / $20.51 / $27.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $38.07 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.30 / $101.30 / $101.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $23.54 / $52.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.06 / $4.71 / $12.91
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.83 / $18.84 / $39.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $24.14 / $37.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.48 / $5.45 / $7.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.50 / $19.00 / $29.68