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Montana 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

Facilitymedian $28 · 10th–90th $28–$340%50%90th$28Professionalmedian $81 · 10th–90th $62–$1450%10%10th90th$81$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $123.03
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $239.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $114.82 / $154.88
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$28.18 / $28.18 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $112.20 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $120.23 / $141.25