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Utah 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
$537.03 / $691.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $1,513.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,148.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $741.31 / $1,202.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $602.56 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,096.48