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Iowa 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
$129.09 / $245.27 / $453.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.29 / $855.66 / $3,434.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.10 / $172.21 / $622.05
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$258.77 / $324.08 / $434.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$472.44 / $663.94 / $2,780.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.59 / $1,522.34 / $1,830.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.97 / $290.43 / $344.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$943.38 / $1,229.00 / $1,455.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.49 / $888.75 / $2,918.84
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.15 / $182.49 / $514.29
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$456.34 / $733.54 / $1,842.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.67 / $1,455.85 / $6,200.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.10 / $291.72 / $1,081.48
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$679.81 / $1,097.43 / $3,875.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.79 / $1,363.86 / $1,713.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.81 / $649.97 / $1,177.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.85 / $1,193.07 / $1,615.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.99 / $261.12 / $338.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$539.86 / $1,040.61 / $1,408.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.46 / $1,314.50 / $1,546.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.79 / $241.50 / $284.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$847.59 / $1,072.90 / $1,262.30