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Arizona 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
$51.91 / $51.91 / $51.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $72.75 / $92.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $61.15 / $69.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $84.46 / $157.16
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $42.94 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $82.78 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $77.63 / $131.80