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Massachusetts 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
$150.00 / $306.52 / $1,751.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.38 / $150.00 / $180.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.77 / $219.77 / $680.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $323.43 / $858.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.50 / $335.00 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $199.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.84 / $246.03 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.53 / $202.77 / $372.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.60 / $234.18 / $312.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.77 / $219.77 / $680.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $322.80 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $275.52 / $596.84