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Louisiana rates for HCPCS 94772

Circadian Respiratry Pattern Rec 12-24 Hr Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.64 / $334.24 / $377.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $320.64 / $420.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.51 / $630.17 / $1,145.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $353.38 / $353.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.05 / $361.76 / $525.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.26 / $296.51 / $481.86