go back

Alaska rates for HCPCS G0400

Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $162.18 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $177.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $151.36 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $123.03 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $724.44