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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$32.78 / $120.00 / $134.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $57.00 / $57.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.21 / $79.58 / $138.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.55 / $87.29 / $171.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.67 / $74.95 / $157.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00