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Vermont 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 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $185.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.94 / $469.94 / $601.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.69 / $123.72 / $339.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $339.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $339.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.37 / $214.57 / $416.70