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Wisconsin 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
$512.86 / $616.60 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $891.25 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,288.25 / $2,454.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $4,265.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $3,162.28 / $4,265.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $2,187.76