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Illinois rates for HCPCS 95811

Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.67 / $198.29 / $290.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.04 / $777.87 / $1,170.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.20 / $152.85 / $355.76
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$258.77 / $335.49 / $467.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$472.98 / $654.08 / $1,047.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.74 / $757.74 / $757.74
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.15 / $145.99 / $164.24
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$189.43 / $189.43 / $189.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$617.83 / $617.83 / $617.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.91 / $558.53 / $1,033.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.38 / $139.38 / $139.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.67 / $930.14 / $1,479.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.74 / $186.14 / $281.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$531.29 / $752.14 / $1,221.35
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.59 / $988.35 / $3,212.33
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.28 / $194.39 / $740.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$524.47 / $770.92 / $2,480.11
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.08 / $770.25 / $856.57
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.43 / $147.75 / $158.16
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$593.65 / $619.83 / $698.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.71 / $829.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.89 / $958.14 / $1,471.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.60 / $190.71 / $296.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$491.01 / $755.20 / $1,195.86