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Pennsylvania rates for HCPCS 95800

Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.29 / $367.61 / $950.80
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.91 / $55.09 / $76.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $211.81 / $476.72
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.45 / $54.92 / $166.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.16 / $134.55 / $196.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.23 / $110.84 / $121.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.81 / $63.51 / $72.98
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.60 / $85.60 / $85.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.20 / $2,877.20 / $2,877.20
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.56 / $202.56 / $202.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.50 / $216.71 / $409.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.68 / $60.07 / $120.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.82 / $156.63 / $284.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.52 / $250.00 / $250.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.86 / $44.86 / $44.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.62 / $235.97 / $361.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.86 / $65.34 / $99.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.10 / $170.57 / $264.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.19 / $193.35 / $258.73
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.46 / $55.44 / $75.34
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.73 / $137.90 / $179.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.77 / $428.48 / $859.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.78 / $143.47 / $286.24
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.82 / $43.15 / $57.61
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$21.41 / $21.41 / $75.89
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.20 / $2,877.20 / $3,645.18
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.54 / $130.54 / $283.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.46 / $499.00 / $1,213.08
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.91 / $55.09 / $111.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.19 / $216.80 / $517.64
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.76 / $56.23 / $162.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.23 / $146.08 / $291.68
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.88 / $336.88 / $423.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.82 / $182.76 / $264.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.52 / $250.00 / $250.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.86 / $44.86 / $44.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.62 / $231.22 / $360.76
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $65.34 / $101.20
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.10 / $163.38 / $264.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.57 / $142.57 / $184.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.52 / $39.52 / $53.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.37 / $142.57 / $154.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.52 / $39.52 / $40.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.85 / $103.05 / $113.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $200.28 / $319.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.42 / $54.00 / $87.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.34 / $144.85 / $242.74