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Airplane Cabin Oxygen Test With Oxygen Titration

Wisconsin rates for HCPCS 94453

A breathing test that mimics the thinner air of an aircraft cabin by having the patient breathe a mixture with reduced oxygen while blood oxygen levels are watched. Extra oxygen is then given and adjusted step by step to find how much would be needed in flight. A clinician interprets the results and writes a report.

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $16$1000%10%10th90th$48Professionalmedian $89 · 10th–90th $62$2510%10%10th90th$89$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$19.95
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$229.09
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$16.22
Median
$53.70
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$173.78
Typical High
$239.88
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$199.53
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$42.66
Median
$100.00
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$81.28
Network Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$109.65
Typical High
$181.97
Quartz
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$169.82
Typical High
$251.19
Quartz
Setting
Facility
Modifier
26 · Professional part
Typical Low
$5.89
Median
$35.48
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$346.74
Typical High
$707.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Security Health
Setting
Professional
Modifier
26 · Professional part
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Security Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$229.09