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Arkansas rates for HCPCS 94772

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.60 / $165.60 / $248.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $165.60 / $332.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.88 / $458.88 / $458.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $110.50 / $130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.67 / $264.66 / $462.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $356.53 / $460.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.72 / $326.02 / $504.75