go back

Arkansas 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
$23.57 / $24.29 / $36.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.31 / $75.02 / $95.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.17 / $96.47 / $113.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $95.75 / $121.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $78.39 / $117.43