go back

Wyoming rates for HCPCS G0400

Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.81 / $120.78 / $151.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $193.00 / $193.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.53 / $88.53 / $169.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.29 / $298.18 / $555.41