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Maine rates for HCPCS G0398

Home sleep study test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.62 / $221.62 / $221.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.09 / $240.00 / $244.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.57 / $248.39 / $248.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.27 / $146.27 / $146.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $183.62 / $344.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.62 / $240.00 / $276.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.79 / $391.62 / $642.87