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HCPCS G0399-TC

Home sleep test/type 3 porta

Payer pricing summary

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Low

$152

Average

$281

Median

$261

High

$428

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 5 Per diem 0 Percent of billed charges 2 Other 4

Filter by billing class

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#
1	Aetna fee schedule · outpatient · +2 other terms	4	$325	$325	$121	37%	—	$154 – $410
2	Anthem fee schedule · outpatient · +1 other terms	4	$412	$406	$184	45%	—	$154 – $619
3	Humana fee schedule · outpatient	4	$154	$154	—	—	—	$154 – $154
4	UnitedHealthcare fee schedule · outpatient	4	$152	$152	—	—	—	$152 – $152
5	Blue Cross Blue Shield facility · fee schedule · outpatient	1	$411	$411	—	—	—	$411 – $411

← Hospitals reporting HCPCS G0399-TC · Snapshot 20261115T194459Z-975ba28a