go back

Kentucky 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
$18.23 / $18.57 / $23.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $63.31 / $82.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.67 / $73.73 / $100.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $24.05 / $82.12
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
$60.54 / $86.31 / $130.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $32.34 / $53.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $79.18 / $128.75