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Tennessee 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
$13.51 / $13.93 / $35.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $53.58 / $85.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $71.55 / $106.63
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
$49.24 / $65.31 / $102.52
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.53 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.40 / $57.31 / $101.50