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Maine rates for HCPCS 94681

Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.72 / $10.72 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $54.95 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $75.86 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.29 / $10.72 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $79.43 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $95.50 / $158.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $72.44 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $72.44 / $120.23