go back

Virginia 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
$304.48 / $304.48 / $308.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $296.66 / $334.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.07 / $247.57 / $337.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.50 / $335.00 / $615.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.38 / $436.83 / $638.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.02 / $403.65 / $682.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.24 / $352.80 / $441.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.65 / $326.14 / $493.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $296.27 / $543.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.96 / $214.27 / $495.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $297.92 / $603.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.75 / $314.95 / $507.47