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Wisconsin rates for HCPCS 94621

Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $85.11 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $95.50 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $199.53 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $147.91 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $467.74
DeanCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $138.04 / $199.53
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $302.00 / $302.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $275.42 / $977.24
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $123.03 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $371.54 / $549.54
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $426.58 / $426.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $776.25 / $977.24
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $346.74 / $426.58
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.65 / $109.65 / $109.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $107.15 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $478.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $97.72 / $208.93