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New Hampshire 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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $100.00 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $79.43 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $91.20 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $83.18 / $154.88
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.71 / $10.23 / $16.98