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Michigan 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
$37.15 / $37.15 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $134.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $33.88 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $134.90 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $41.69 / $89.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.11 / $37.15 / $95.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $97.72 / $138.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $34.67 / $52.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $38.90 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $151.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $38.02 / $54.95