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Minnesota 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
$342.31 / $342.31 / $342.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $296.66 / $399.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.68 / $1,015.81 / $2,102.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.62 / $227.57 / $232.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.78 / $392.97 / $945.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.05 / $314.70 / $480.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.19 / $358.61 / $744.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.35 / $286.20 / $427.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.06 / $342.31 / $654.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.31 / $574.42 / $1,255.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.29 / $549.25 / $984.84