go back

New Hampshire 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
$112.50 / $112.50 / $308.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $250.00 / $250.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.56 / $494.96 / $881.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.20 / $543.94 / $1,085.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.11 / $430.16 / $841.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00