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Nebraska 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
$17.45 / $17.45 / $17.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $75.02 / $97.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $101.12 / $136.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.97 / $141.93 / $274.97
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.47 / $135.19 / $714.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.00 / $143.60 / $186.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $82.20 / $143.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.58 / $125.60 / $161.56