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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
$117.68 / $141.21 / $253.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.95 / $821.91 / $1,828.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.68 / $138.75 / $548.62
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$286.48 / $331.88 / $467.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.27 / $654.21 / $1,026.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.49 / $569.49 / $740.34
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.19 / $147.10 / $158.41
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$456.34 / $456.34 / $456.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.45 / $616.00 / $916.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.39 / $124.76 / $192.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$387.06 / $491.24 / $732.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.47 / $524.79 / $797.29
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
$630.61 / $938.34 / $1,491.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.27 / $207.79 / $337.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$500.00 / $737.79 / $1,145.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $139.66 / $621.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.00 / $859.20 / $1,214.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.58 / $177.60 / $271.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.90 / $672.08 / $957.71