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Kentucky 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
$117.49 / $186.21 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $162.18 / $309.03
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$204.17 / $257.04 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $616.60 / $1,071.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $588.84 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $147.91 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.63 / $489.78 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $123.03 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.05 / $457.09 / $741.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $501.19 / $776.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,174.90 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $257.04 / $891.25
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$501.19 / $912.01 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $177.83 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$457.09 / $645.65 / $1,000.00