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North Dakota 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
$19.12 / $19.12 / $19.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.60 / $73.89 / $94.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.16 / $163.10 / $170.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.65 / $140.27 / $219.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $42.94 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $137.05 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $118.37 / $161.24