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Maine 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
Professional
Modifier
Low / Median / High Price
$95.41 / $97.49 / $149.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.69 / $34.57 / $48.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $118.77 / $183.85
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.18 / $42.94 / $63.80
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
$96.34 / $132.72 / $205.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.93 / $46.17 / $72.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.24 / $127.81 / $239.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.44 / $44.35 / $88.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.15 / $97.49 / $156.94
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.69 / $34.95 / $47.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $129.84 / $181.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.20 / $47.82 / $63.10