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Ohio 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
$30.20 / $42.66 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $95.50 / $144.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $33.11 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $37.15 / $58.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $37.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.59 / $35.48 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $117.49 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $42.66 / $70.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.59 / $35.48 / $51.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $190.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $41.69 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $47.86
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.18 / $162.18 / $162.18
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $204.17
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $38.02 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $97.72 / $162.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.30 / $36.31 / $60.26