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Georgia 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
$17.07 / $19.73 / $32.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.95 / $67.12 / $104.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $101.95 / $178.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $16.71 / $16.71
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
$71.84 / $100.86 / $176.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.03 / $84.54 / $170.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.54 / $22.80 / $44.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $59.32 / $105.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $92.85 / $151.68