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Alaska rates for HCPCS 95783

Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.23 / $2,171.23 / $2,370.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.09 / $1,105.17 / $1,938.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.02 / $2,194.08 / $2,818.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,105.17 / $1,938.60 / $2,966.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.13 / $2,997.54 / $3,894.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.56 / $3,861.25 / $5,095.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.09 / $1,938.60 / $2,966.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.74 / $2,585.44 / $4,870.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.67 / $2,585.32 / $4,867.53