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Illinois 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
$326.39 / $326.39 / $525.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $296.66 / $356.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.07 / $758.87 / $979.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $692.23 / $1,484.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.83 / $437.04 / $576.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.53 / $262.58 / $341.48
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.34 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.62 / $354.25 / $567.22