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Alabama rates for HCPCS G0400

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.03 / $178.03 / $178.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $145.86 / $178.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.48 / $226.83 / $306.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $169.56 / $211.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.50 / $159.38 / $251.82