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Massachusetts 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
$1,294.68 / $1,474.10 / $4,676.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.13 / $1,169.98 / $1,666.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.93 / $2,308.15 / $3,728.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.03 / $1,890.96 / $6,397.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.90 / $1,657.60 / $2,097.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.81 / $1,264.81 / $1,264.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.21 / $2,485.37 / $4,130.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.31 / $2,069.65 / $3,363.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.23 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $715.99 / $1,670.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.25 / $2,397.65 / $3,151.23
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,627.57 / $2,627.57 / $2,843.62
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,067.27 / $2,067.27 / $5,572.13
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.33 / $1,933.44 / $6,397.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.85 / $1,615.18 / $3,024.47