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Nebraska 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
$13.38 / $13.38 / $13.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.34 / $56.80 / $68.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.25 / $76.34 / $102.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $106.78 / $208.27
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.53 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.75 / $98.22 / $500.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $104.48 / $135.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $62.51 / $109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $95.77 / $118.97