go back

Arizona rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.00 / $3,008.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.73 / $105.81 / $199.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.92 / $73.23 / $91.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.33 / $1,459.33 / $1,459.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.18 / $143.65 / $251.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.51 / $141.91 / $1,919.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $132.80 / $720.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.92 / $126.16 / $229.03