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Kentucky 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
$98.32 / $1,788.74 / $5,320.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.30 / $105.81 / $138.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.19 / $116.19 / $116.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.00 / $2,335.00 / $4,389.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $89.07 / $112.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.16 / $125.13 / $144.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $125.13 / $178.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.04 / $110.04 / $110.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.61 / $157.91 / $291.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $164.57 / $231.45