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New Hampshire 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
$240.00 / $240.00 / $288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.31 / $240.00 / $319.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.42 / $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
$142.57 / $235.03 / $440.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.15 / $447.18 / $831.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.75 / $347.13 / $3,375.00