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Indiana rates for HCPCS 94452

High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.31 / $13.31 / $13.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $50.10 / $70.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.65 / $56.86 / $82.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $37.56 / $57.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.90 / $15.90 / $15.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.37 / $64.08 / $98.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.62 / $54.99 / $83.97