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Virginia 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
$16.87 / $20.30 / $37.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.02 / $66.64 / $83.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $78.98 / $109.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $81.81 / $163.62
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
$70.13 / $93.89 / $154.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.58 / $76.69 / $113.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.25 / $20.01 / $28.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.61 / $21.55 / $48.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $84.00 / $122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.34 / $82.48 / $130.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.22 / $82.81 / $133.28