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New Mexico 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
$234.71 / $234.71 / $234.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $304.04 / $351.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $353.38 / $353.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.91 / $425.31 / $533.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $119.90 / $179.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.68 / $288.70 / $399.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.91 / $425.31 / $518.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.37 / $416.55 / $563.71