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Virginia 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
$111.42 / $198.32 / $309.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.88 / $702.22 / $1,177.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.42 / $134.63 / $256.29
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$258.47 / $331.88 / $424.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$465.22 / $552.50 / $950.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.90 / $748.71 / $1,153.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.99 / $137.62 / $212.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.37 / $610.60 / $940.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.47 / $766.47 / $2,017.15
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.27 / $135.27 / $263.77
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$631.20 / $631.20 / $1,230.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.59 / $976.97 / $1,453.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.34 / $186.62 / $299.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$520.69 / $782.84 / $1,193.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.82 / $751.94 / $972.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.93 / $134.56 / $166.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$526.78 / $619.87 / $805.83
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.49 / $238.00 / $332.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.00 / $772.00 / $1,282.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.09 / $830.52 / $1,485.11
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.61 / $182.83 / $281.60
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$557.05 / $774.38 / $1,195.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.75 / $907.00 / $1,401.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.35 / $180.74 / $275.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$464.90 / $736.45 / $1,128.86