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Ohio 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
$133.34 / $226.67 / $6,128.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.14 / $720.28 / $1,247.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.16 / $133.34 / $288.02
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$273.83 / $308.69 / $400.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$441.72 / $559.03 / $959.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.05 / $523.05 / $607.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.08 / $142.69 / $170.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.38 / $715.53 / $1,202.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.00 / $137.55 / $242.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$442.45 / $580.72 / $977.44
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.42 / $562.42 / $894.26
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.77 / $109.77 / $174.53
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$452.67 / $452.67 / $719.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.18 / $563.89 / $766.80
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
$552.40 / $868.59 / $1,527.18
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.77 / $170.14 / $320.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$443.44 / $679.00 / $1,223.72
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$133.97 / $133.97 / $133.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.56 / $787.40 / $1,246.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.77 / $170.14 / $351.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$439.93 / $656.36 / $1,064.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.42 / $486.21 / $794.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.36 / $783.44 / $1,242.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.33 / $162.65 / $277.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$428.55 / $625.13 / $964.86