go back

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
$26.92 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $32.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.92 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $53.70 / $295.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $44.67 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $57.54 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $44.67 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49