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New Hampshire 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
$151.41 / $592.55 / $867.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.99 / $180.00 / $245.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.99 / $313.99 / $313.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.42 / $211.26 / $211.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.27 / $167.58 / $329.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $288.87 / $722.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.94 / $254.48 / $3,375.00