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Utah 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
$112.50 / $112.50 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.50 / $269.70 / $390.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.68 / $403.64 / $578.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $87.82 / $187.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.52 / $1,019.99 / $1,480.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.16 / $401.62 / $608.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.40 / $322.64 / $480.60