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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$61.02 / $82.17 / $114.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.62 / $77.20 / $107.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.63 / $114.86 / $169.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.93 / $80.63 / $124.28