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Idaho rates for HCPCS 94772

Circadian Respiratry Pattern Rec 12-24 Hr Infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $304.04 / $399.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.68 / $427.18 / $526.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.07 / $390.62 / $511.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.34 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.47 / $1,205.20 / $1,623.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.62 / $470.14 / $486.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.38 / $400.50 / $544.67