CPT 94016

Home lung function monitoring review by physician

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB-Review Patient Spirometry

Payer pricing summary

Low

$12

Average

$63

Median

$37

High

$807

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +24 other terms	246	$24	$123	$640	520%	—	$12 – $8.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	238	$58	$78	$49	64%	—	$0 – $339
3	Aetna fee schedule · outpatient · +25 other terms	227	$25	$172	$889	516%	—	$14 – $8.4k
4	UnitedHealthcare fee schedule · outpatient · +27 other terms	221	$25	$95	$213	226%	—	$4 – $2.4k
5	Cigna fee schedule · outpatient · +19 other terms	91	$27	$32	$9	27%	—	$22 – $71
6	Anthem fee schedule · outpatient · +14 other terms	80	$33	$64	$59	93%	—	$4 – $291
7	WellCare facility · fee schedule · outpatient · +10 other terms	79	$26	$29	$4	14%	—	$23 – $35
8	Molina facility · fee schedule · outpatient · +16 other terms	67	$25	$27	$10	38%	—	$10 – $78
9	Kaiser fee schedule · outpatient · +8 other terms	59	$37	$45	$31	68%	—	$20 – $192
10	Ambetter facility · fee schedule · outpatient · +11 other terms	56	$43	$48	$13	27%	—	$23 – $77
11	Devoted facility · fee schedule · outpatient · +8 other terms	36	$26	$29	$5	18%	—	$23 – $37
12	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$103	$95	$35	37%	—	$30 – $174
13	Caresource fee schedule · outpatient · +7 other terms	29	$20	$24	$7	29%	—	$14 – $47
14	Regence professional · fee schedule · outpatient · +5 other terms	26	$24	$40	$19	48%	—	$24 – $76
15	Oscar fee schedule · outpatient · +10 other terms	25	$31	$31	$19	61%	—	$1 – $69
16	Optum fee schedule · outpatient · +9 other terms	22	$24	$38	$21	55%	—	$23 – $96
17	Medicare fee schedule · outpatient · +6 other terms	18	$23	$23	$0	2%	—	$22 – $24
18	Medical Mutual facility · fee schedule · outpatient · +3 other terms	16	$24	$28	$7	24%	—	$13 – $38
19	Highmark facility · fee schedule · outpatient · +9 other terms	15	$27	$27	$11	40%	—	$18 – $53
20	Clover facility · fee schedule · outpatient · +6 other terms	14	$25	$25	$1	4%	—	$23 – $26
21	Aetna Better Health professional · fee schedule · both · +6 other terms	13	$18	$18	$6	35%	—	$5 – $24
22	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$92	$79	$49	62%	—	$24 – $143
23	Medica facility · fee schedule · outpatient · +9 other terms	13	$23	$24	$6	27%	—	$14 – $43
24	Tricare fee schedule · outpatient · +10 other terms	13	$26	$24	$4	18%	—	$9 – $26
25	Wellmark fee schedule · both · +6 other terms	13	$42	$42	$11	28%	—	$23 – $53

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