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Montana 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
Professional
Modifier
Low / Median / High Price
$937.37 / $1,062.14 / $1,620.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,931.90 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.22 / $208.22 / $1,637.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.47 / $1,637.87 / $2,506.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.61 / $1,474.08 / $2,283.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.13 / $1,203.97 / $1,946.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.99 / $1,596.57 / $2,384.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.10 / $1,626.00 / $2,783.33