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Tennessee 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
$910.95 / $1,778.40 / $2,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.89 / $1,023.89 / $1,811.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.89 / $895.89 / $895.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.74 / $1,337.72 / $1,971.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.42 / $1,187.76 / $1,303.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.41 / $1,325.21 / $2,353.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,991.59 / $4,676.16 / $5,572.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,397.70 / $6,397.70 / $8,712.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.23 / $1,219.77 / $2,054.07