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North Dakota 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
$162.61 / $162.76 / $162.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $123.42 / $165.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.19 / $222.79 / $244.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $249.98 / $314.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.98 / $162.76 / $384.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $234.42 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.81 / $230.72 / $489.12