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Wisconsin 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
$34.61 / $39.81 / $118.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.27 / $94.35 / $149.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.99 / $34.57 / $47.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.23 / $124.68 / $297.06
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.11 / $45.75 / $106.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.80 / $97.93 / $150.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.11 / $214.72 / $257.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.29 / $76.09 / $91.93
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.91 / $140.77 / $140.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $154.41 / $560.38
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.14 / $57.31 / $201.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $80.11 / $186.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.40 / $207.02 / $289.92
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.04 / $140.77 / $140.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $442.60 / $560.38
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.02 / $165.75 / $201.28
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.75 / $51.75 / $51.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $275.95 / $313.86
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.99 / $51.75 / $65.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.94 / $139.63 / $302.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.25 / $52.67 / $110.82