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Michigan 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.46 / $56.46 / $56.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $49.66 / $120.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.19 / $439.79 / $849.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.97 / $155.07 / $182.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $61.20 / $115.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.46 / $56.46 / $56.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.85 / $56.46 / $120.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.81 / $57.65 / $88.74