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Colorado 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
$141.25 / $204.17 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $169.82 / $501.19
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$199.53 / $257.04 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $588.84 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $162.18 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $537.03 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $199.53 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.44 / $812.83 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.89 / $177.83 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$616.60 / $870.96 / $1,202.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $794.33
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $125.89 / $190.55
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.03 / $616.60 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,513.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $204.17 / $323.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$562.34 / $812.83 / $1,174.90