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Delaware 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
$128.82 / $138.04 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $190.55 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.63 / $588.84 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $741.31 / $954.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $123.03 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $933.25 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $177.83 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.68 / $776.25 / $1,174.90