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Missouri 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
$19.05 / $19.05 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $72.44 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $83.18 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $158.49
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.66 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $81.28 / $131.83