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Idaho rates for HCPCS 94453

High Altitude Simulatj W/Phys I&R W/O2 Titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.18 / $31.18 / $31.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.61 / $88.16 / $105.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $102.45 / $131.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $107.28 / $130.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $32.34 / $104.39
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.18 / $217.18 / $217.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $100.00 / $122.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.14 / $104.85 / $138.04