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Illinois 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
$1,012.00 / $1,438.77 / $1,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.13 / $1,062.14 / $1,438.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.12 / $2,064.48 / $10,816.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.44 / $478.93 / $1,581.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.33 / $1,337.96 / $2,895.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.50 / $1,445.65 / $2,283.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.17 / $1,479.87 / $4,933.81
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.40 / $1,238.46 / $1,342.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $125.20 / $1,352.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.80 / $1,399.54 / $2,121.19