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Ohio rates for HCPCS 94729

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

Facilitymedian $11 · 10th–90th $9$160%20%10th90th$11Professionalmedian $45 · 10th–90th $8$1000%10%10th90th$45$0.1$0.5$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
$8.51 / $11.48 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.47 / $26.30
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $51.29 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $58.88 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $10.00 / $12.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$44.67 / $44.67 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.59 / $9.33 / $14.79
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$39.81 / $51.29 / $81.28
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $117.49
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $10.72 / $18.62
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $54.95 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $51.29 / $100.00
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
$52.48 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $11.48 / $19.05
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$43.65 / $60.26 / $102.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.14 / $10.00 / $14.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $104.71
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $11.48 / $19.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $60.26 / $91.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $69.18 / $117.49
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.71 / $10.96 / $18.20
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $58.88 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $9.77 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $48.98 / $83.18