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South Dakota 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
$1,141.93 / $1,141.93 / $1,141.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.98 / $1,141.93 / $1,419.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,149.80 / $2,154.19 / $2,692.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.44 / $1,563.08 / $2,796.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.71 / $1,990.21 / $6,397.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.97 / $2,133.41 / $2,488.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.97 / $1,956.06 / $2,430.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.64 / $1,698.64 / $2,070.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.44 / $1,747.73 / $2,926.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.10 / $2,521.90 / $2,521.90