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Michigan 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
$356.79 / $356.79 / $356.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $296.66 / $356.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.45 / $1,484.14 / $2,881.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.77 / $105.61 / $133.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.18 / $406.01 / $671.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $241.00 / $356.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.39 / $273.64 / $356.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.85 / $227.70 / $396.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.17 / $335.34 / $496.70