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Missouri 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
$304.26 / $322.07 / $377.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.60 / $313.64 / $399.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,423.00 / $1,466.00 / $1,641.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $212.50 / $435.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.05 / $1,083.05 / $1,582.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.31 / $383.37 / $606.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.70 / $377.29 / $754.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.17 / $379.76 / $1,852.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.72 / $353.07 / $613.41