go back

Michigan 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
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $181.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $20.89 / $52.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $107.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $81.28 / $120.23