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Wisconsin rates for HCPCS 95803

Actigraphy Testing Recording Analysis I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.51 / $255.51 / $487.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.40 / $166.83 / $255.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,562.00 / $2,961.00 / $4,776.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.78 / $199.03 / $593.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.26 / $433.85 / $699.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.38 / $340.46 / $641.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.29 / $168.41 / $298.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.29 / $168.38 / $298.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.76 / $344.50 / $935.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.22 / $106.43 / $260.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.29 / $170.35 / $298.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.14 / $301.58 / $444.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.88 / $591.88 / $591.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $726.40 / $935.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.42 / $181.42 / $181.42
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.41 / $2,561.10 / $3,109.51
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $698.22 / $698.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.09 / $300.73 / $544.79