go back

South Dakota 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
$342.31 / $342.31 / $342.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $316.80 / $342.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.91 / $236.66 / $331.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.34 / $455.08 / $868.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.75 / $503.39 / $1,852.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.53 / $507.54 / $761.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.86 / $407.48 / $624.67
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.41 / $146.41 / $146.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.55 / $471.86 / $646.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.50 / $270.00 / $280.80