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Maryland 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
$301.83 / $370.19 / $570.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.83 / $171.60 / $198.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $110.66 / $150.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $194.98 / $334.71