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Utah 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
$258.16 / $258.16 / $258.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.93 / $241.29 / $293.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $311.54 / $432.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.97 / $296.17 / $431.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.41 / $300.48 / $476.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $251.61 / $372.01