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Montana 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
Professional
Modifier
Low / Median / High Price
$202.93 / $219.29 / $258.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.74 / $371.74 / $441.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.92 / $329.74 / $581.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.10 / $245.03 / $441.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.92 / $315.98 / $437.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.81 / $365.81 / $440.79