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New Mexico 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
$423.32 / $454.96 / $487.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $180.00 / $187.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.09 / $891.36 / $1,452.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.83 / $87.83 / $93.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.34 / $65.17 / $139.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.93 / $167.45 / $180.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $87.22 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.50 / $297.10 / $442.84