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Illinois 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
$123.03 / $165.96 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $218.78 / $575.44
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$117.49 / $257.04 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$467.74 / $616.60 / $1,348.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $724.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.15 / $128.82 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$141.25 / $141.25 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $457.09 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $562.34 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $186.21 / $275.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$524.81 / $741.31 / $1,174.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $3,715.35
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $213.80 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$501.19 / $812.83 / $2,951.21
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
$724.44 / $776.25 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $147.91 / $158.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$588.84 / $616.60 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $186.21 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.78 / $707.95 / $1,071.52