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Maine 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
$156.61 / $156.61 / $156.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.43 / $156.61 / $208.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $179.81 / $249.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.29 / $228.07 / $336.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.99 / $169.23 / $286.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.43 / $157.63 / $231.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.16 / $197.62 / $281.98