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West 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

Facilitymedian $132 · 10th–90th $120–$2820%20%10th90th$132Professionalmedian $457 · 10th–90th $123–$9120%10%10th90th$457$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $131.83 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $724.44 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $151.36 / $275.42
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$181.97 / $257.04 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $549.54 / $912.01
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $537.03 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $138.04 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,148.15 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$117.49 / $234.42 / $891.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $891.25 / $2,511.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $891.25
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $169.82 / $251.19
Highmark BCBS
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $870.96 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $707.95 / $1,047.13