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Montana 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
$44.81 / $58.99 / $111.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $21.56 / $79.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.56 / $21.56 / $25.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.18 / $75.97 / $154.10
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.56 / $21.56 / $25.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.17 / $88.64 / $130.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.52 / $87.32 / $102.12