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Missouri 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
$119.46 / $638.00 / $1,424.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $125.97 / $156.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.00 / $492.00 / $1,037.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.98 / $200.91 / $267.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.00 / $274.00 / $343.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.19 / $148.32 / $308.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.18 / $244.17 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $218.82 / $399.11