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Louisiana 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
$107.47 / $1,000.00 / $3,373.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $127.53 / $167.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.82 / $252.28 / $367.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.85 / $111.71 / $128.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $159.68 / $239.63