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South Dakota rates for HCPCS 95808

Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,000.00 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,445.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,380.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,202.26