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Alaska rates for HCPCS 94772

Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.52 / $326.39 / $638.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $422.35 / $971.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.14 / $638.01 / $912.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.99 / $387.13 / $387.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.58 / $978.00 / $1,630.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.14 / $638.01 / $912.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.13 / $919.71 / $1,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.81 / $707.28 / $1,526.91