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West Virginia 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
$103.63 / $103.63 / $103.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.63 / $115.22 / $151.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.22 / $127.22 / $127.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $578.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $824.00 / $824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.38 / $170.18 / $246.53