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Utah 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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $53.70 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $61.66 / $93.33
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
$102.33 / $102.33 / $102.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $64.57 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $75.86 / $117.49
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $60.26 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $87.10