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Utah 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
$150.00 / $150.00 / $150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.22 / $150.00 / $151.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $56.67 / $146.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.82 / $595.13 / $867.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $160.19 / $200.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $182.25 / $285.44