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Pennsylvania 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
$14.98 / $14.98 / $44.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $51.15 / $85.27
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.09 / $50.94 / $101.31
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
$48.64 / $63.26 / $106.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.77 / $76.45 / $100.53
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.98 / $24.83 / $44.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.47 / $58.99 / $163.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $64.50 / $131.40
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.90 / $15.90 / $15.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.62 / $63.06 / $106.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.66 / $13.66 / $17.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.84 / $46.53 / $53.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.29 / $55.10 / $96.39