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Colorado 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
$19.60 / $19.61 / $19.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.14 / $75.02 / $89.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.94 / $93.78 / $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
$74.92 / $98.08 / $143.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $95.98 / $135.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.66 / $25.08 / $35.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.01 / $103.53 / $154.94