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Utah 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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $69.18 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$478.63 / $478.63 / $478.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $85.11 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $54.95 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $93.33