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Washington rates for HCPCS 95800

Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.68 / $467.84 / $697.20
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.20 / $70.45 / $142.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.96 / $217.69 / $425.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.45 / $55.46 / $104.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.42 / $163.53 / $250.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.44 / $234.35 / $270.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.86 / $64.26 / $69.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.07 / $116.07 / $116.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.17 / $486.21 / $846.77
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.36 / $174.10 / $174.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.80 / $255.18 / $2,210.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.60 / $75.34 / $319.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.20 / $180.75 / $2,112.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $240.00 / $240.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.55 / $284.56 / $442.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.96 / $79.31 / $117.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.81 / $203.20 / $319.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.32 / $275.77 / $487.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.60 / $81.59 / $148.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.36 / $248.24 / $460.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.68 / $72.59 / $127.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.01 / $178.77 / $335.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $139.80 / $318.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.69 / $273.36 / $337.68
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.21 / $76.08 / $98.49
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.60 / $75.86 / $99.18
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.52 / $195.64 / $265.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.46 / $214.72 / $443.08
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.01 / $53.01 / $54.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.37 / $316.52 / $405.26
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.45 / $89.05 / $108.37
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.91 / $230.10 / $293.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.13 / $451.10 / $846.77
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$270.73 / $270.73 / $459.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $165.90 / $325.74
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.57 / $42.00 / $95.55
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.09 / $123.90 / $217.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.91 / $308.55 / $456.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.56 / $80.81 / $116.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.85 / $217.00 / $341.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.28 / $128.22 / $146.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.75 / $37.54 / $40.15
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.54 / $90.68 / $106.31