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Arkansas 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
$150.00 / $150.00 / $1,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $150.00 / $196.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.30 / $128.78 / $128.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.61 / $242.61 / $242.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $88.53 / $88.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.16 / $173.18 / $257.77