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Missouri 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
$138.63 / $781.36 / $1,120.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.98 / $139.56 / $187.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.29 / $91.29 / $91.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $492.00 / $800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $200.99 / $288.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $274.00 / $343.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.98 / $144.68 / $312.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $246.83 / $917.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.59 / $231.76 / $400.62