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Montana rates for HCPCS 94772

Circadian respiratory pattern recording (pediatric pneumogram), 12-24 hour continuous recording, infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $283.32 / $328.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.88 / $496.88 / $590.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.77 / $427.18 / $776.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.50 / $317.82 / $590.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.88 / $420.76 / $515.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.49 / $472.59 / $552.69