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Nationwide rates for HCPCS 94453

High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.12 / $19.75 / $28.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $73.89 / $94.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $84.11 / $134.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $20.92 / $20.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $98.08 / $164.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $82.49 / $141.22