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Washington, DC 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
$16.87 / $16.87 / $16.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $66.64 / $82.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $81.81 / $153.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.13 / $99.37 / $274.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.93 / $79.51 / $158.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.23 / $20.01 / $39.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.11 / $74.84 / $200.57