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Oklahoma 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
$100.07 / $103.57 / $862.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $122.07 / $162.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.75 / $147.47 / $213.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $77.48 / $77.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,713.00 / $1,713.00 / $2,248.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.51 / $122.07 / $150.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.79 / $168.36 / $858.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.01 / $170.10 / $277.70