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North Carolina 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
$18.57 / $18.57 / $28.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.30 / $66.64 / $88.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $70.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $20.92 / $20.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $102.09 / $181.35
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.72 / $19.72 / $34.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $76.00 / $104.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $72.14 / $119.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $79.54 / $148.69
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $80.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $714.00 / $714.00