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Alabama rates for HCPCS 95811

Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $199.53 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $190.55 / $354.81
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$213.80 / $295.12 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $562.34 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $131.83 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$141.25 / $141.25 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $467.74 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $776.25 / $912.01
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $234.42 / $275.42
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $537.03 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $173.78 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $588.84 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $131.83 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$363.08 / $524.81 / $977.24