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Utah 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
$180.00 / $180.00 / $371.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $180.00 / $198.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $78.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $191.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.97 / $296.17 / $431.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.93 / $200.84 / $251.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.33 / $217.89 / $324.04