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Michigan 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
$202.01 / $202.01 / $202.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.37 / $221.78 / $249.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.02 / $419.58 / $859.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.64 / $138.41 / $198.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.27 / $146.27 / $314.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.01 / $305.00 / $305.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $240.00 / $319.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.46 / $108.53 / $145.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.19 / $224.51 / $331.94