go back

Michigan rates for HCPCS 95782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.39 / $3,596.03 / $5,540.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.91 / $1,035.85 / $1,345.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.93 / $3,647.81 / $7,471.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.77 / $1,451.62 / $1,669.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.53 / $1,486.68 / $2,581.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.38 / $4,118.45 / $5,540.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.81 / $1,033.45 / $1,345.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.15 / $791.36 / $1,217.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.92 / $1,149.90 / $1,585.17