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Vermont rates for HCPCS 95782

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.16 / $1,174.16 / $1,174.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.84 / $1,157.01 / $1,174.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,942.85 / $7,942.85 / $9,600.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.49 / $1,574.25 / $3,500.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.57 / $1,408.45 / $3,500.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.15 / $1,425.07 / $2,055.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.11 / $1,577.98 / $3,753.38