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South Carolina 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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $69.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $83.18 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$4.47 / $20.89 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $109.65
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $30.20 / $30.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $117.49