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Mississippi 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
$100.68 / $100.68 / $1,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.65 / $150.00 / $191.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.53 / $104.53 / $104.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.14 / $307.14 / $307.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.50 / $50.00 / $80.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $178.46 / $229.37