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Montana 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
$148.83 / $155.76 / $622.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.07 / $180.00 / $245.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.32 / $159.32 / $159.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $159.32 / $360.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.31 / $159.32 / $180.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.22 / $173.40 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.79 / $324.04 / $361.21