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Vermont 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
$150.00 / $150.00 / $160.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $88.53
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $670.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.37 / $243.84 / $771.37