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West Virginia 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
$370.19 / $735.00 / $735.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.66 / $117.31 / $180.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $56.60 / $108.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.16 / $80.02 / $185.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.96 / $112.96 / $112.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.91 / $78.91 / $447.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $170.18 / $254.00