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Minnesota 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
$19.71 / $19.71 / $19.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $73.89 / $89.38
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.97 / $14.97 / $15.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $177.85 / $235.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.56 / $63.31 / $152.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $186.63 / $290.63
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.15 / $57.77 / $119.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.41 / $175.72 / $262.60
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $148.72 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $142.54 / $249.58