go back

Minnesota 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
$116.14 / $451.97 / $877.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.78 / $180.00 / $245.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $380.76 / $770.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.94 / $197.24 / $201.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.92 / $613.94 / $1,476.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.00 / $294.83 / $360.05
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.36 / $561.29 / $1,162.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.32 / $283.50 / $283.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.08 / $196.28 / $482.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.63 / $368.12 / $917.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $363.26 / $723.20