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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $223.87 / $549.54
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$371.54 / $371.54 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$501.19 / $660.69 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $123.03 / $194.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$416.87 / $501.19 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,258.93 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.89 / $229.09 / $316.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.03 / $1,023.29 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $186.21 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$537.03 / $741.31 / $1,096.48