go back

Vermont rates for HCPCS 95805

Mlt Sleep Latency/Maint Of Wakefulness Tstg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.58 / $68.58 / $68.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.40 / $451.62 / $470.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.82 / $65.31 / $68.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.58 / $386.31 / $406.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.84 / $137.94 / $205.06
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$747.55 / $972.04 / $1,539.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.68 / $602.41 / $1,539.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.89 / $96.40 / $205.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$294.79 / $492.54 / $810.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $593.94 / $945.83
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.62 / $83.62 / $143.08
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$433.77 / $510.31 / $810.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.51 / $857.72 / $1,723.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.00 / $123.98 / $244.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$462.10 / $631.41 / $1,479.37