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New York 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
$146.83 / $199.51 / $7,090.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.01 / $150.65 / $231.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $138.08 / $285.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.21 / $63.21 / $153.16
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $153.16 / $216.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.75 / $99.75 / $151.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.35 / $229.25 / $495.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.64 / $201.45 / $346.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.12 / $187.15 / $263.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $169.82 / $319.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.54 / $245.54 / $245.54
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.74 / $555.00 / $3,792.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.25 / $214.35 / $447.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.09 / $168.91 / $524.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.51 / $157.51 / $157.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.88 / $175.28 / $344.31