go back

Iowa 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
$1,186.48 / $2,027.30 / $3,618.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.13 / $1,023.89 / $1,889.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,676.61 / $2,210.12 / $2,802.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.97 / $1,365.24 / $4,402.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.89 / $1,883.29 / $2,970.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.60 / $2,189.41 / $6,397.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.07 / $2,210.12 / $2,488.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.12 / $2,133.41 / $2,620.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.16 / $970.19 / $1,800.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.29 / $1,856.65 / $2,673.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.27 / $2,061.10 / $2,424.90