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Utah rates for HCPCS 95803

Actigraphy Testing Recording Analysis I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.54 / $184.54 / $184.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.40 / $150.36 / $184.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $196.99 / $315.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $93.53 / $131.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.09 / $116.32 / $169.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.30 / $210.29 / $295.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.17 / $177.05 / $250.46