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New York rates for HCPCS 94729

Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)

Facilitymedian $10 · 10th–90th $8$200%10%20%10th90th$10Professionalmedian $50 · 10th–90th $9$1200%5%10th90th$50$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.76 / $10.47 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $69.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.72 / $29.51
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$8.13 / $8.32 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $52.48 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.41 / $9.12 / $14.45
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $67.61 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $60.26 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.24 / $8.51 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $52.48 / $89.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $70.79 / $83.18
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.14 / $10.00 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.30 / $28.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $67.61 / $162.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $97.72 / $131.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $13.80 / $19.50
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $85.11 / $120.23
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $117.49
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $10.96 / $18.62
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$33.11 / $58.88 / $100.00
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $7.08 / $14.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $72.44 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $11.22 / $14.79
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $147.91
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $12.88 / $23.44
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$53.70 / $64.57 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $91.20 / $371.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.80 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $79.43 / $316.23
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.89 / $10.96 / $16.98
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $123.03
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$6.76 / $10.96 / $20.89
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $58.88 / $104.71