go back

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
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $239.88 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $724.44