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South Carolina 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
$105.02 / $439.53 / $439.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $115.22 / $150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.02 / $631.88 / $946.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.27 / $146.22 / $201.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.02 / $148.22 / $222.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.05 / $181.05 / $181.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $173.57 / $287.50