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Pennsylvania 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
$30.41 / $33.45 / $33.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.30 / $90.05 / $122.41
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.58 / $31.69 / $58.89
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
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.93 / $90.21 / $167.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.31 / $32.49 / $60.98
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
$86.19 / $113.80 / $185.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.02 / $40.61 / $64.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.82 / $134.22 / $176.27
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.50 / $44.48 / $57.56
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.71 / $38.06 / $58.08
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.41 / $33.45 / $56.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.27 / $95.13 / $156.94
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.99 / $33.21 / $91.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $113.50 / $174.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.04 / $36.04 / $36.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.11 / $113.37 / $184.74
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.40 / $40.13 / $64.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.98 / $30.98 / $36.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.59 / $83.77 / $101.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.31 / $30.98 / $36.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $99.23 / $171.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.19 / $35.78 / $60.91