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Oklahoma 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
$17.61 / $17.61 / $17.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.14 / $63.31 / $88.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.72 / $89.82 / $116.51
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
$61.74 / $81.73 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.61 / $76.92 / $115.42