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Montana rates for HCPCS 95782

Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.97 / $4,892.97 / $4,892.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.46 / $1,035.85 / $1,660.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,580.63 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.87 / $190.87 / $1,544.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.17 / $1,544.80 / $2,365.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.12 / $1,390.32 / $2,154.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.74 / $1,127.48 / $1,836.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.61 / $1,504.71 / $2,250.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.51 / $1,580.38 / $2,627.01