go back

New Mexico 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
$112.41 / $112.41 / $112.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.41 / $139.90 / $231.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.53 / $288.97 / $506.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $102.53 / $151.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.60 / $225.62 / $302.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $59.18 / $185.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.10 / $128.84 / $194.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.60 / $228.10 / $342.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.44 / $235.30 / $353.91