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Michigan 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
$112.94 / $423.31 / $664.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $180.00 / $198.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.92 / $419.58 / $859.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.64 / $127.83 / $216.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $62.83 / $118.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.18 / $62.83 / $113.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $360.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.15 / $497.08 / $648.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $180.00 / $305.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.18 / $218.52 / $275.95