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Illinois 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
$131.09 / $440.64 / $769.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.75 / $172.93 / $198.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.20 / $98.20 / $98.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.94 / $429.22 / $998.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.88 / $90.90 / $147.71
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 / $300.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.18 / $124.05 / $444.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.10 / $115.19 / $127.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.54 / $244.16 / $437.63