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Massachusetts 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
$17.98 / $17.98 / $17.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.25 / $75.20 / $114.07
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.25 / $42.94 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $116.43 / $714.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.43 / $119.54 / $226.54
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $42.54 / $103.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.33 / $151.49 / $211.69
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.92 / $126.21 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.11 / $102.35 / $201.34