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Delaware 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
$3,940.00 / $3,940.00 / $3,940.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.63 / $136.03 / $165.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.83 / $147.97 / $255.06