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Texas 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

Facilitymedian $18 · 10th–90th $17–$1170%20%40%10th90th$18Professionalmedian $68 · 10th–90th $21–$1070%10%10th90th$68$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $16.98 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $54.95 / $93.33
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $147.91
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $18.20 / $25.70
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $77.62 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.11 / $53.70
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $75.86 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $93.33 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $123.03
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $72.44 / $91.20