ASV machines are among the most expensive types of PAP devices and can cost $3,000 or more. How much you have to pay depends on whether you have health insurance and what your insurance covers, particularly your plan's deductible and limits on out-of-pocket costs. Since ASV is expensive and used only for certain patients, insurance companies do not always cover these devices. Your doctor may need to submit documentation on your behalf that explains why ASV is the correct treatment for you. Ask your doctor and health insurance provider to address any questions or concerns you may have regarding the cost of these devices.