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Missouri 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
$31.14 / $32.79 / $74.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.32 / $95.90 / $194.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.05 / $32.79 / $48.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.01 / $76.01 / $76.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.12 / $27.12 / $27.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.28 / $94.04 / $147.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.07 / $35.03 / $54.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.19 / $119.01 / $197.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.38 / $43.61 / $72.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.91 / $74.91 / $140.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.80 / $116.39 / $560.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $42.88 / $201.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $112.96 / $197.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.73 / $40.72 / $68.76