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Connecticut 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
$475.00 / $500.00 / $3,664.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.95 / $150.00 / $178.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.57 / $174.18 / $255.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $557.00 / $2,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.64 / $151.19 / $262.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.85 / $167.22 / $269.13