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Wisconsin rates for HCPCS 94375

Respiratory flow volume loop

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $104.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $15.14 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $25.12 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $54.95 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.45 / $20.42 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $33.88 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $31.62 / $52.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $41.69 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $54.95 / $79.43
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $117.49
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $29.51 / $41.69
DeanCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $52.48 / $74.13
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.88 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $346.74
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $26.30 / $89.13
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $42.66 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $100.00 / $138.04
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
$42.66 / $190.55 / $346.74
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.14 / $74.13 / $89.13
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $114.82 / $199.53
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.98 / $48.98 / $48.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $117.49 / $138.04
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $28.18 / $45.71
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $52.48 / $117.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $20.89 / $44.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $33.11 / $72.44