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Louisiana 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
$119.02 / $433.50 / $3,145.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $139.22 / $187.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.96 / $276.55 / $442.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.63 / $182.44 / $232.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.50 / $144.50 / $144.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.09 / $201.33 / $350.15