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Massachusetts 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
$180.00 / $472.20 / $983.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $180.00 / $261.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.00 / $245.65 / $526.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $277.42 / $917.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.50 / $335.00 / $375.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $203.75 / $270.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $236.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $87.05 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.06 / $85.64 / $160.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.27 / $222.12 / $302.73
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.81 / $248.04 / $927.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $231.81 / $355.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.65 / $245.65 / $526.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $274.27 / $917.85
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.82 / $370.15 / $921.38
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.63 / $385.58 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $245.46 / $560.22