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Indiana 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
$17.41 / $17.41 / $17.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $68.81 / $85.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $78.81 / $117.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $52.27 / $75.48
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
$65.25 / $88.18 / $135.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $75.45 / $114.12