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Maryland 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
$108.45 / $135.56 / $147.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $668.73 / $1,252.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.42 / $131.91 / $450.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$277.83 / $304.37 / $436.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$451.82 / $533.44 / $960.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.91 / $728.79 / $925.56
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.05 / $130.05 / $165.16
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$538.87 / $598.74 / $760.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.08 / $922.90 / $1,585.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.16 / $170.89 / $298.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.18 / $756.77 / $1,288.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.75 / $741.02 / $987.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.68 / $128.94 / $175.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$402.07 / $616.50 / $804.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.30 / $715.17 / $1,184.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.09 / $145.03 / $231.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$435.68 / $615.40 / $1,152.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.08 / $741.02 / $926.28
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.43 / $134.44 / $170.40
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$515.65 / $604.69 / $755.87