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Montana rates for HCPCS 95808

Polysom Any Age Sleep Stage 1-3 Addl Param Attnd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.12 / $714.37 / $1,084.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $128.30 / $808.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.47 / $727.34 / $1,164.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.79 / $907.89 / $1,547.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.16 / $1,068.35 / $1,252.56