go back

North Dakota 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
$193.44 / $589.86 / $718.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $180.00 / $198.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $222.79 / $244.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $286.33 / $354.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.14 / $167.15 / $251.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.30 / $252.04 / $917.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.60 / $243.58 / $489.12