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South Dakota 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
$15.10 / $15.10 / $15.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $54.34 / $85.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $106.78 / $133.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.15 / $94.53 / $500.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $104.48 / $127.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $83.58 / $98.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.47 / $23.10 / $27.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $88.40 / $121.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.80 / $112.70 / $117.20