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Montana 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
Professional
Modifier
Low / Median / High Price
$126.40 / $146.83 / $241.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.06 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $64.67 / $213.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.17 / $213.47 / $318.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.83 / $213.47 / $330.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.32 / $145.47 / $301.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.08 / $213.47 / $338.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.85 / $232.10 / $286.95