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Pennsylvania rates for HCPCS 95805

Mlt Sleep Latency/Maint Of Wakefulness Tstg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.99 / $61.70 / $107.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.41 / $434.29 / $688.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.20 / $63.71 / $219.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$330.06 / $369.51 / $569.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.81 / $54.81 / $54.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.28 / $633.64 / $1,068.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.40 / $90.89 / $222.46
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$364.87 / $539.02 / $871.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.81 / $64.81 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.85 / $562.32 / $971.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.35 / $88.07 / $145.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$325.39 / $474.24 / $850.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.54 / $668.41 / $878.33
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.08 / $81.27 / $115.60
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$403.74 / $587.29 / $762.73
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.82 / $490.04 / $610.44
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.50 / $80.65 / $97.60
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$419.62 / $419.62 / $419.62
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.99 / $83.78 / $155.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.39 / $470.84 / $1,189.95
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.81 / $74.81 / $223.34
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.06 / $403.62 / $847.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.40 / $429.40 / $6,360.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.81 / $64.81 / $64.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.43 / $560.50 / $971.85
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.35 / $86.01 / $145.00
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.36 / $474.24 / $850.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.49 / $55.49 / $95.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.35 / $397.48 / $434.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.19 / $55.49 / $57.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$334.96 / $341.99 / $376.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $523.59 / $816.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.34 / $76.50 / $117.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.93 / $413.33 / $675.31