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Michigan rates for HCPCS 94777

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; review, interpretation and preparation of report only by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $33.40 / $33.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.45 / $30.54 / $151.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $42.45 / $42.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.33 / $45.00 / $53.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $38.92 / $63.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.40 / $36.79 / $36.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.78 / $36.79 / $47.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $15.12 / $22.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $33.90 / $49.54