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New York 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
$103.85 / $143.10 / $268.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.67 / $726.59 / $1,489.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.86 / $133.44 / $459.78
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$277.83 / $324.04 / $494.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$451.81 / $602.07 / $1,289.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.34 / $579.34 / $606.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.94 / $113.94 / $113.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.28 / $481.42 / $1,387.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.56 / $87.03 / $235.35
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.70 / $394.39 / $1,066.95
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.86 / $692.89 / $863.76
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.97 / $133.97 / $133.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.14 / $1,073.46 / $2,237.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.93 / $197.53 / $388.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$400.22 / $859.12 / $1,784.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.59 / $660.00 / $1,219.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.83 / $159.62 / $239.42
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$604.60 / $784.49 / $1,044.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $776.99 / $1,418.34
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.76 / $147.51 / $270.38
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.28 / $629.49 / $1,147.96
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.18 / $1,472.18 / $1,472.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.07 / $676.73 / $676.73
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.74 / $136.74 / $284.05
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$338.37 / $338.37 / $676.73
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$539.99 / $539.99 / $539.99
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.97 / $133.97 / $133.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.45 / $971.43 / $2,131.35
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.92 / $184.36 / $383.49
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$482.89 / $783.33 / $1,661.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.63 / $736.12 / $1,709.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.25 / $140.25 / $326.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$428.55 / $589.55 / $1,426.36
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.62 / $137.62 / $636.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.64 / $837.88 / $1,569.19
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.98 / $159.07 / $299.14
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$496.66 / $678.81 / $1,270.05