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Georgia 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
$114.29 / $133.91 / $280.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.34 / $714.69 / $1,321.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.29 / $136.03 / $328.59
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$284.83 / $317.42 / $552.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.22 / $571.87 / $1,028.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.66 / $1,066.71 / $1,182.04
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.01 / $199.54 / $218.00
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$266.68 / $266.68 / $266.68
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$516.04 / $516.04 / $516.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.18 / $758.57 / $1,694.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.90 / $149.91 / $344.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.29 / $594.76 / $1,288.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.46 / $619.92 / $970.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $989.68 / $1,750.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.01 / $207.44 / $356.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$511.90 / $763.75 / $1,389.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.34 / $827.67 / $2,886.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.16 / $152.65 / $808.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$420.41 / $420.41 / $761.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$571.17 / $675.03 / $2,886.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.33 / $831.94 / $1,133.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.42 / $988.37 / $1,690.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.17 / $200.28 / $328.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$466.78 / $793.17 / $1,377.47