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Pennsylvania 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
$201.22 / $3,570.00 / $7,951.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.06 / $111.45 / $161.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.34 / $100.40 / $177.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.40 / $149.75 / $272.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.88 / $150.97 / $151.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.08 / $4,139.79 / $6,939.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.23 / $3,654.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.74 / $117.78 / $349.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.10 / $283.10 / $283.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.09 / $154.40 / $292.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.81 / $93.81 / $122.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.99 / $94.23 / $122.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.84 / $148.76 / $230.61