go back

Montana 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
$79.77 / $95.90 / $149.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.54 / $31.69 / $48.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $140.38 / $140.38
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.90 / $48.90 / $58.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $126.01 / $271.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.81 / $44.46 / $97.06
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.90 / $48.90 / $58.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.11 / $155.93 / $233.61
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.60 / $44.01 / $70.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $152.22 / $178.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.51 / $55.11 / $62.71