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New Mexico 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
$99.25 / $590.77 / $590.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.25 / $147.31 / $168.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.09 / $891.36 / $1,452.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $72.33 / $72.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $60.00 / $115.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.51 / $150.00 / $168.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.58 / $268.08 / $389.56