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South Carolina 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
$32.90 / $32.90 / $32.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.32 / $87.77 / $123.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.58 / $31.89 / $47.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.98 / $138.00 / $211.46
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.40 / $68.00 / $90.39
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
$93.45 / $118.59 / $191.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.06 / $43.13 / $71.95
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.86 / $57.20 / $87.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.19 / $107.57 / $223.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.50 / $89.37 / $146.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $90.40 / $147.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.04 / $33.47 / $53.55