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Minnesota 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
$123.42 / $123.42 / $1,979.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.23 / $142.19 / $180.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.68 / $639.90 / $1,269.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.14 / $311.45 / $317.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.16 / $778.77 / $1,873.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.98 / $284.27 / $314.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.98 / $711.98 / $1,475.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.50 / $247.50 / $260.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.81 / $201.08 / $459.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.48 / $347.67 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.34 / $361.03 / $638.48