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New Hampshire 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
$150.00 / $150.00 / $180.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $150.00 / $180.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.43 / $681.43 / $681.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $176.78 / $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
$102.29 / $170.11 / $333.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $275.52 / $649.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.15 / $219.10 / $3,375.00