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New Hampshire rates for HCPCS 94690

Oxygen uptake, expired gas analysis; rest, indirect (separate procedure)

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
$39.81 / $51.29 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $95.50 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $81.28 / $144.54
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.29 / $2.69 / $4.57