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California rates for HCPCS 94617

Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.69 / $34.22 / $193.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.99 / $95.90 / $150.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.32 / $32.90 / $91.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.13 / $139.03 / $268.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.97 / $46.64 / $90.20
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $110.23 / $222.12
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.27 / $37.78 / $88.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.04 / $36.04 / $36.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.34 / $127.99 / $264.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.01 / $43.74 / $89.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.44 / $114.26 / $154.25
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.53 / $34.88 / $47.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.94 / $104.38 / $216.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.64 / $40.11 / $73.16
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.91 / $140.77 / $153.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.38 / $560.38 / $745.73
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$201.28 / $201.28 / $247.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $122.76
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.04 / $36.04 / $36.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.91 / $142.10 / $239.20
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.01 / $43.13 / $84.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.86 / $303.86 / $303.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.02 / $109.02 / $109.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.44 / $103.95 / $146.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.23 / $98.04 / $214.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.65 / $35.15 / $72.66