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Wisconsin 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
$3.02 / $4.47 / $4.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $50.12 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $67.61 / $151.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.02 / $10.23 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $109.65 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $100.00 / $144.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.51 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $100.00 / $446.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $117.49 / $173.78
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $275.42 / $457.09
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.75 / $5.75 / $5.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $95.50 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $72.44 / $154.88