Fee for oral sleep appliance and insurance billing

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This topic contains 1 reply, has 2 voices, and was last updated by  Suzanne 10 months, 4 weeks ago.

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  • #254

    aafesleep
    Keymaster

    We took the AAFE course in New Jersey in May 2014. We have done a few appliances and are finding that we are having a tough time with the insurance aspect but we also think that we need to price our appliance better.

    1. What are offices charging for an oral sleep appliance?
    2. What are you finding that insurances are paying?
    3. How are you estimating the patient portion?

    #438

    Suzanne
    Moderator

    Everyone charges different prices. Think of the price for the appliances as you did when you priced your crowns, implants, dentures. Range of prices across the board: $1500-$6000.
    Medical Insurances pay different amounts…according to insurance plans, coverage’s, deductibles, in or out of network, e.t.c. that being said the portion covered by the medical insurance depends on all of the above.

    Have you taken a Medical Billing course? There are also third party Medical Companies that can assist you on your journey

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