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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Acoustic Pharyngometers and SNAP Testing System
Aetna
Bi-Level Positive Airway Pressure Devices
Anthem
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Facility Based Sleep Studies

Sleep

Humana
MA
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Facility Based Sleep Studies for Obstructive Sleep Apnea
Home Sleep Testing (HST)
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
Anthem
Medicare
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Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (L38276, L38307, L38398, L38387, L38310, L38312, L38385, L38528)

Indicates Non-covered Service

Management of Obstructive Sleep Apnea using Auto Titrating and Continuous Positive Airway Pressure Devices
Anthem
Sleep Studies-Adult
Aetna
Humana
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Actigraphy & Accelerometry
Aetna
Management of Obstructive Sleep Apnea using Oral Appliances
Anthem
Sleep Studies-Pediatric
Aetna
Humana

64582, 64583, 64584, 95782, 95783, 95800, 95801, 95805, 95806, 95807, 95808, 95810, 95811, A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, C1767, D9947, D9948, E0470, E0471, E0485, E0486, E0561, E0562, E0601, E1399, G0398, G0399, G0400, 4A1ZXQZ

Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing
Aetna
Anthem
Sleep Testing
FloridaBlue
Polysomnography and Home Sleep Apnea Testing
Anthem
Polysomnography for Non-Respiratory Sleep Disorders
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Sleep Studies
UHC
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