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Louisiana 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
$165.66 / $165.66 / $193.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.86 / $171.54 / $216.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.31 / $118.94 / $195.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.62 / $159.55 / $239.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $130.44 / $130.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.99 / $154.24 / $266.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.12 / $152.30 / $247.53