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Utah rates for HCPCS 94617

Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)

Facilitymedian $39 · 10th–90th $39$390%50%$39Professionalmedian $81 · 10th–90th $31$1290%10%10th90th$81$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $95.50 / $128.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $33.11 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $173.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $44.67 / $63.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $134.90
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $162.18
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $40.74 / $58.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $158.49 / $218.78
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $57.54 / $79.43
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $85.11 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $154.88
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.18 / $37.15 / $56.23