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Kentucky 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
$95.26 / $103.62 / $658.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.26 / $119.35 / $165.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.10 / $211.16 / $269.89
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 / $578.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $221.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $196.77 / $343.69