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Maine 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
$151.66 / $298.14 / $687.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $150.00 / $165.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.85 / $174.18 / $176.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.31 / $121.56 / $213.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.58 / $687.85 / $847.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $151.66 / $295.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.18 / $272.47 / $426.42