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Michigan rates for HCPCS 94776

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analyses by computer only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.33 / $267.33 / $267.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.75 / $234.97 / $267.33
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
$191.44 / $285.66 / $525.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.46 / $59.46 / $267.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $72.80 / $267.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $130.99 / $130.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.54 / $270.39 / $393.80