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Tennessee 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
$130.91 / $246.73 / $885.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.78 / $180.00 / $187.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $73.56 / $73.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.36 / $220.69 / $352.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.59 / $1,529.00 / $1,590.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.65 / $507.98 / $526.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.85 / $917.85 / $917.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $208.65 / $324.64