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New York 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
$150.63 / $530.83 / $3,717.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $180.00 / $245.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $193.23 / $300.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.81 / $146.10 / $451.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.81 / $146.10 / $255.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.96 / $6,291.00 / $6,990.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.97 / $161.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $138.47 / $195.86
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $130.43 / $222.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.75 / $524.87 / $565.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.73 / $176.73 / $176.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.96 / $597.00 / $6,990.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.66 / $182.75 / $440.56
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.28 / $101.28 / $101.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $125.79 / $222.49