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Wisconsin rates for HCPCS 94200

Maximum breathing capacity, maximal voluntary ventilation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.00 / $2.00 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $40.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.00 / $3.02 / $9.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $12.88 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $26.92 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$2.88 / $5.25 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.18 / $20.89 / $46.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.19 / $7.24 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $36.31 / $53.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.55 / $6.61 / $9.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $29.51 / $44.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $45.71
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.27 / $5.25 / $7.76
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.38 / $25.70 / $50.12
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.89 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $162.18
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.68 / $8.91 / $53.70
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $33.11 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $38.90 / $57.54
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $107.15 / $162.18
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.80 / $26.92 / $36.31
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $85.11 / $128.82
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $8.51 / $8.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $47.86 / $51.29
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.80 / $8.51 / $10.72
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $30.20 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.90 / $67.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$3.98 / $6.76 / $13.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $24.55 / $52.48