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Indiana 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
$1,016.02 / $5,080.52 / $5,080.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.97 / $1,016.02 / $1,179.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.10 / $2,238.00 / $4,731.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.36 / $1,117.53 / $1,627.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.54 / $883.93 / $1,246.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.38 / $849.94 / $1,157.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,478.99 / $5,478.99 / $5,479.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.69 / $1,340.99 / $2,452.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.90 / $1,144.73 / $1,970.40