go back

Iowa 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
$124.34 / $236.26 / $439.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.67 / $800.97 / $2,987.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.55 / $184.72 / $618.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$246.22 / $309.93 / $1,648.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$451.13 / $634.95 / $2,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.91 / $1,444.02 / $1,745.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.62 / $279.50 / $321.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$897.75 / $1,142.48 / $1,356.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.83 / $870.25 / $2,673.01
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.48 / $174.15 / $557.88
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$435.35 / $699.96 / $2,115.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.03 / $1,363.78 / $6,200.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.86 / $279.62 / $2,600.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$644.17 / $1,044.31 / $7,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.33 / $1,294.74 / $1,641.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.55 / $618.86 / $1,122.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.48 / $1,134.21 / $1,545.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.72 / $246.41 / $325.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$493.40 / $791.50 / $1,219.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.53 / $1,255.09 / $1,476.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.89 / $231.50 / $272.39
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$808.64 / $1,023.60 / $1,204.20