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Maine 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 / $294.22 / $342.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.36 / $250.00 / $250.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $353.38 / $353.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.68 / $458.17 / $703.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.79 / $453.07 / $903.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $294.22 / $342.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.64 / $412.41 / $620.79