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Ohio 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
$1,126.36 / $1,845.70 / $4,439.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.89 / $1,019.64 / $1,296.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.90 / $1,187.36 / $1,983.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.76 / $925.84 / $1,241.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.69 / $875.15 / $1,149.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.33 / $1,161.33 / $1,161.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.86 / $1,385.11 / $2,501.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.33 / $1,161.33 / $1,161.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.86 / $1,352.20 / $2,262.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.54 / $858.00 / $1,335.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.89 / $1,294.27 / $2,018.33