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Utah 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
$1,217.84 / $1,217.84 / $1,217.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.97 / $1,126.36 / $1,254.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.92 / $1,516.97 / $2,126.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $735.07 / $1,039.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.98 / $1,982.40 / $2,888.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.49 / $1,719.03 / $2,149.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.33 / $1,265.03 / $1,967.40