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Michigan 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
$150.65 / $150.65 / $150.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.01 / $150.65 / $196.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $61.25 / $133.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $166.83 / $233.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.09 / $240.27 / $345.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.65 / $160.31 / $160.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $160.31 / $208.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $110.85 / $167.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.66 / $159.91 / $225.24