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Rhode Island 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

Facilitymedian $2,512 · 10th–90th $575–$3,9810%20%10th90th$2,512Professionalmedian $141 · 10th–90th $98–$4270%10%10th90th$141$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,511.89 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $141.25 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $109.65 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,412.54 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $151.36 / $213.80