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Texas 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
$10.89 / $13.00 / $16.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.78 / $50.58 / $70.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $39.06 / $65.93
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.01 / $49.47 / $72.87
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
$49.69 / $66.95 / $103.52
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.17 / $68.84 / $88.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $42.80 / $72.13
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.90 / $15.90 / $15.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.33 / $70.54 / $125.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $57.04 / $88.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $47.01 / $66.78