go back

Maine 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
Professional
Modifier
Low / Median / High Price
$54.34 / $59.19 / $85.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.18 / $66.23 / $104.27
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
$55.34 / $75.95 / $118.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $72.48 / $144.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $60.42 / $90.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.43 / $78.72 / $111.20