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Mississippi 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
$21.71 / $21.71 / $36.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $82.03 / $120.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.43 / $92.55 / $132.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $78.70 / $118.32