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Hawaii 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
$112.50 / $268.41 / $305.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.81 / $458.17 / $612.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.71 / $37.63 / $45.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.25 / $351.55 / $564.71