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Tennessee 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
$139.90 / $144.18 / $371.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $150.36 / $255.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.62 / $180.54 / $285.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.62 / $80.05 / $337.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.03 / $185.79 / $347.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.70 / $693.98 / $693.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.19 / $935.19 / $1,087.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.69 / $167.23 / $304.88