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Massachusetts rates for HCPCS 94775

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and disconnection)

Facilitymedian $135 · 10th–90th $83–$4680%50%10th90th$135Professionalmedian $62 · 10th–90th $43–$1350%20%10th90th$62$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $47.86 / $120.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $467.74
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $77.62 / $138.04
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $87.10 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $81.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $91.20 / $144.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $467.74
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $74.13 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $234.42 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $154.88