go back

Tennessee 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
$17.67 / $18.22 / $46.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $71.05 / $93.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.29 / $98.18 / $149.13
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
$66.78 / $89.90 / $143.84
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $714.00 / $714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $80.14 / $143.86