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South Carolina rates for HCPCS 94453

High Altitude Simulatj W/Phys I&R W/O2 Titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.00 / $19.00 / $19.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.30 / $66.30 / $79.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $84.00 / $128.71
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
$71.44 / $87.80 / $155.40
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.61 / $21.60 / $40.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.94 / $96.94 / $177.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.05 / $57.12 / $98.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.07 / $73.26 / $113.45