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Alaska rates for HCPCS 95810

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$338.84 / $338.84 / $338.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $134.90 / $269.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,380.38 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$281.84 / $316.23 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$977.24 / $1,071.52 / $1,380.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,698.24 / $2,818.38
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $354.81 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$512.86 / $1,380.38 / $2,187.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,511.89 / $3,162.28
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$234.42 / $467.74 / $616.60
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$954.99 / $2,041.74 / $2,570.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $1,737.80
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $208.93 / $426.58
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $912.01 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,445.44 / $3,162.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $346.74 / $741.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$588.84 / $1,096.48 / $2,398.83