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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
$144.54 / $269.15 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $181.97 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $190.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $269.15 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $173.78 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $107.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $75.86 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $199.53 / $331.13