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Arizona 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
$299.50 / $331.90 / $685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.02 / $150.00 / $165.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.57 / $519.69 / $860.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.18 / $210.90 / $263.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.22 / $127.22 / $127.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.52 / $131.29 / $239.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $173.57 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.84 / $173.14 / $291.39