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Massachusetts 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
$32.86 / $32.86 / $32.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $97.49 / $135.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.58 / $32.90 / $47.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.34 / $74.91 / $153.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.09 / $147.33 / $560.38
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.46 / $49.67 / $201.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.15 / $179.63 / $238.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.33 / $59.17 / $78.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.34 / $143.65 / $297.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.93 / $49.21 / $104.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $57.05 / $134.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.77 / $202.64 / $273.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.09 / $69.31 / $94.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $48.73 / $49.97
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.91 / $153.47 / $153.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.68 / $152.43 / $560.38
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.93 / $53.94 / $201.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.81 / $137.28 / $242.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.00 / $45.36 / $86.68