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Michigan rates for HCPCS 95805

Mlt Sleep Latency/Maint Of Wakefulness Tstg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.71 / $63.71 / $80.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.39 / $448.55 / $642.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.34 / $63.71 / $87.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.06 / $384.84 / $538.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.19 / $69.06 / $95.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.01 / $655.34 / $786.41
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.48 / $89.48 / $89.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.85 / $742.12 / $1,164.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.83 / $103.50 / $145.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.02 / $638.62 / $1,019.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.92 / $63.71 / $80.27
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.60 / $448.55 / $605.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.92 / $63.71 / $87.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.68 / $384.84 / $513.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $381.60 / $575.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.55 / $475.15 / $711.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.22 / $74.15 / $114.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.77 / $401.77 / $601.02