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Nebraska 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
$288.70 / $288.70 / $288.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $288.70 / $420.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.12 / $331.61 / $641.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.06 / $467.41 / $629.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.61 / $531.22 / $712.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.83 / $447.50 / $660.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.18 / $530.24 / $1,852.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.53 / $547.14 / $729.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.53 / $547.14 / $730.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.60 / $417.60 / $417.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.57 / $586.46 / $724.66