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Utah 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
$151.13 / $151.13 / $151.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.31 / $30.16 / $151.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.19 / $39.24 / $54.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $37.83 / $59.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $31.47 / $46.80