go back

Nebraska 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
$157.46 / $242.97 / $1,099.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.75 / $180.00 / $187.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.51 / $414.74 / $650.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.54 / $91.09 / $91.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.25 / $304.88 / $492.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.68 / $168.75 / $545.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.43 / $358.99 / $917.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.82 / $247.44 / $508.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.25 / $329.12 / $488.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.43 / $358.99 / $489.23