go back

Arizona 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
$687.00 / $687.00 / $687.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $288.70 / $351.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.68 / $397.78 / $684.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $43.86 / $49.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,209.58 / $2,209.58 / $2,209.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.39 / $352.94 / $695.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.53 / $317.57 / $626.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.37 / $318.54 / $1,852.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.87 / $304.37 / $551.57