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Massachusetts rates for HCPCS 94781

Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, with interpretation and report; each additional full 30 minutes (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $23.35 / $23.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $18.20 / $27.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.58 / $26.27 / $39.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $27.73 / $96.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $20.97 / $27.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $28.81 / $54.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $23.98 / $52.77
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.41 / $21.98 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $22.68 / $39.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $24.89 / $58.96
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.65 / $162.29 / $163.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $16.89 / $23.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $39.28 / $39.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.63 / $39.20 / $129.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $30.61 / $58.96