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Wisconsin 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
$272.47 / $673.28 / $1,541.29
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.89 / $73.89 / $145.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.53 / $225.03 / $558.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.74 / $81.45 / $254.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.58 / $156.36 / $237.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $960.00 / $1,964.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.24 / $212.24 / $625.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.41 / $59.08 / $171.36
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.30 / $154.69 / $467.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.45 / $99.55 / $157.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.22 / $96.29 / $157.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.16 / $434.90 / $667.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.63 / $121.10 / $185.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $355.08 / $642.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.35 / $98.01 / $185.24
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.53 / $240.21 / $456.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.03 / $183.93 / $318.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.88 / $213.80 / $472.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.85 / $387.24 / $1,023.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.44 / $109.86 / $261.30
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.55 / $299.10 / $767.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.22 / $106.43 / $260.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.03 / $184.56 / $318.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.90 / $308.08 / $437.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.83 / $588.83 / $588.83
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$174.10 / $174.10 / $174.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $1,023.12 / $2,370.90
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.87 / $206.50 / $261.30
Quartz
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.69 / $767.60 / $2,265.69
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.88 / $416.68 / $462.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.95 / $698.99 / $2,064.02
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $130.41 / $296.44
Security Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.85 / $308.83 / $2,095.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.53 / $365.71 / $621.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.34 / $104.57 / $188.94
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.57 / $257.91 / $456.81