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Vermont 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
Professional
Modifier
Low / Median / High Price
$75.20 / $82.17 / $387.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.15 / $98.87 / $243.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.37 / $110.75 / $243.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.94 / $102.58 / $153.22