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Missouri 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
$135.33 / $192.67 / $192.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.40 / $166.83 / $231.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.00 / $2,576.00 / $3,716.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.63 / $166.60 / $245.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.49 / $403.24 / $403.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.57 / $191.48 / $300.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.65 / $192.67 / $388.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.78 / $194.59 / $935.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $177.09 / $303.47