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New Jersey 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
$176.06 / $176.06 / $206.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.67 / $679.75 / $1,007.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.86 / $129.72 / $244.72
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$247.60 / $320.37 / $436.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$434.27 / $539.58 / $792.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.78 / $538.78 / $569.91
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.95 / $128.57 / $190.19
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.44 / $125.44 / $582.92
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.08 / $138.37 / $341.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.45 / $924.41 / $1,703.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.24 / $175.88 / $307.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$396.21 / $749.72 / $1,381.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.59 / $951.84 / $1,052.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.18 / $167.76 / $217.31
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$610.16 / $795.72 / $1,036.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.60 / $601.16 / $1,063.08
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.52 / $111.47 / $296.22
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$396.08 / $489.69 / $851.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.77 / $717.34 / $1,319.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.28 / $135.60 / $262.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$409.27 / $589.99 / $1,120.39