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Tennessee 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
$147.31 / $2,710.00 / $2,710.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.68 / $147.31 / $178.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.86 / $213.25 / $346.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.59 / $1,529.00 / $1,590.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.77 / $656.69 / $680.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.36 / $858.36 / $967.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.06 / $194.70 / $345.56