go back

Utah 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
$39.29 / $39.29 / $39.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $97.70 / $128.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.66 / $32.79 / $45.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.70 / $127.24 / $172.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.04 / $45.48 / $63.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $65.49 / $98.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$203.75 / $203.75 / $203.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.92 / $119.64 / $195.65
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.58 / $43.36 / $71.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $105.30 / $152.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.51 / $37.04 / $54.16