go back

New York 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
$16.22 / $23.31 / $32.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.57 / $75.06 / $114.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.17 / $74.09 / $139.21
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $71.98 / $98.47
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
$73.45 / $109.75 / $232.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $92.74 / $141.26
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.10 / $17.10 / $17.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.78 / $83.19 / $140.87
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $20.92 / $20.92
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $104.15 / $220.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $79.44 / $171.53
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.10 / $22.70 / $75.34
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.08 / $86.51 / $169.77