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South Dakota 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
$32.08 / $32.08 / $32.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.06 / $29.88 / $32.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.14 / $26.62 / $34.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.88 / $54.22 / $347.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $49.03 / $175.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.57 / $57.36 / $71.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.76 / $56.45 / $63.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $216.00 / $216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $44.63 / $63.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00