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New Jersey 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
$180.00 / $366.72 / $4,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $150.00 / $180.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $1,280.00 / $1,280.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.78 / $140.83 / $183.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.64 / $50.64 / $1,165.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.87 / $75.70 / $89.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $117.23 / $220.01