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Maine rates for HCPCS 95782

Polysom <6 Yrs Sleep Stage 4/> Addl Param Attnd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.66 / $945.67 / $5,042.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.62 / $1,035.85 / $1,660.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.90 / $1,161.10 / $1,785.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.07 / $1,518.68 / $2,478.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.33 / $1,261.64 / $2,132.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,042.68 / $5,042.68 / $5,042.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.66 / $1,139.45 / $1,784.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.94 / $1,390.93 / $2,035.96