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Massachusetts rates for HCPCS 94772

Circadian Respiratry Pattern Rec 12-24 Hr Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.50 / $112.50 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $165.60 / $334.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.02 / $941.10 / $1,645.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.17 / $456.56 / $1,852.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.10 / $826.76 / $1,050.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.50 / $921.57 / $1,079.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.90 / $503.72 / $980.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.86 / $263.72 / $510.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.75 / $694.07 / $979.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.49 / $1,645.73 / $1,645.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.24 / $462.27 / $1,852.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.52 / $410.35 / $861.90