go back

Massachusetts rates for HCPCS 94375

Respiratory flow volume loop

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.09 / $14.09 / $14.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $40.74 / $107.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.53 / $15.03 / $50.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.96 / $25.65 / $37.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.03 / $33.53 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $61.59 / $348.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.29 / $24.22 / $89.60
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.43 / $41.69 / $198.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $75.48 / $103.93
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $25.87 / $34.85
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.79 / $53.06 / $78.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.06 / $61.71 / $120.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.30 / $22.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.95 / $39.85 / $80.12
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $24.75 / $57.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $81.80 / $119.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.20 / $31.30 / $42.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.79 / $60.15 / $77.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $55.43 / $117.00
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.53 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $67.88 / $348.00
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.16 / $27.19 / $89.60
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.54 / $47.52 / $198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $56.29 / $105.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.19 / $20.32 / $39.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.22 / $34.97 / $68.52