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Arizona rates for HCPCS G0399

Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.52 / $663.00 / $1,218.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.55 / $180.00 / $198.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.16 / $133.91 / $133.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.57 / $519.69 / $860.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.18 / $210.90 / $263.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.96 / $112.96 / $112.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.32 / $106.17 / $200.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.50 / $189.96 / $917.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.99 / $189.96 / $349.23