go back

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
$122.14 / $138.43 / $355.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.88 / $821.91 / $1,115.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.66 / $137.93 / $379.90
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$286.14 / $345.74 / $421.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.22 / $683.99 / $927.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.80 / $921.45 / $1,145.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.70 / $181.16 / $227.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$464.17 / $748.98 / $931.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.00 / $1,100.00 / $1,100.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.80 / $121.80 / $121.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.65 / $902.01 / $1,454.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.41 / $150.09 / $287.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$444.33 / $724.87 / $1,167.33