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South Dakota 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
$522.95 / $623.04 / $1,044.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.05 / $1,234.11 / $1,280.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.39 / $1,264.97 / $4,283.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.82 / $1,264.97 / $1,594.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.65 / $830.41 / $1,032.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.39 / $1,180.51 / $1,388.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.20 / $1,201.70 / $1,201.70