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Maine 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
$151.43 / $706.28 / $754.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $187.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.23 / $211.26 / $211.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.17 / $118.71 / $210.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.43 / $638.94 / $921.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.25 / $339.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.78 / $284.61 / $361.56