go back

Oregon 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
$162.18 / $281.84 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $162.18 / $389.05
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$199.53 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.63 / $660.69 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $234.42 / $363.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$588.84 / $1,122.02 / $1,513.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,584.89 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $269.15 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,513.56
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $257.04 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,318.26 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $269.15 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$199.53 / $257.04 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$588.84 / $1,148.15 / $1,479.11
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $239.88 / $245.47
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $204.17 / $275.42
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$602.56 / $870.96 / $1,202.26
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $138.04 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $245.47 / $354.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$691.83 / $1,071.52 / $1,513.56
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,778.28
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $245.47 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$794.33 / $1,023.29 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,862.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$158.49 / $251.19 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$660.69 / $1,000.00 / $1,479.11