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Maine 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
$1,005.24 / $1,005.24 / $1,005.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.99 / $1,141.93 / $1,433.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.18 / $1,229.63 / $1,891.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.58 / $1,609.30 / $2,645.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.30 / $1,336.95 / $2,259.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.91 / $1,243.60 / $1,889.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.61 / $1,458.92 / $2,129.17