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Louisiana 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
$22.09 / $23.74 / $26.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $80.15 / $112.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.76 / $80.48 / $125.69
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
$66.06 / $82.58 / $142.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.27 / $73.26 / $118.01