go back

Massachusetts rates for HCPCS 95803

Actigraphy Testing Recording Analysis I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.38 / $144.38 / $144.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $148.57 / $208.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.70 / $265.70 / $693.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.26 / $263.02 / $935.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.06 / $103.81 / $128.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $148.71 / $409.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.34 / $288.27 / $462.24
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.89 / $155.51 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.62 / $84.71 / $197.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.15 / $301.56 / $406.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.70 / $265.70 / $693.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.26 / $263.02 / $935.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $223.73 / $438.87