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Alaska rates for HCPCS 95803

Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.85 / $341.85 / $341.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.29 / $166.83 / $279.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.45 / $354.66 / $455.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.44 / $279.52 / $427.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.18 / $379.41 / $519.54
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.85 / $501.48 / $715.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.18 / $279.52 / $427.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.15 / $349.17 / $649.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.56 / $364.04 / $728.08