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Maryland 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
Professional
Modifier
Low / Median / High Price
$61.12 / $69.45 / $99.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $81.81 / $121.90
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
$65.19 / $92.07 / $159.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.28 / $79.51 / $120.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.04 / $20.05 / $28.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.92 / $81.83 / $139.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.76 / $63.76 / $98.93