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Kansas 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
$220.70 / $456.60 / $2,493.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $119.46 / $220.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.53 / $204.00 / $216.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.39 / $169.39 / $169.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $274.00 / $343.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $262.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.51 / $156.62 / $300.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $257.27 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $240.88 / $401.38