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Wisconsin 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 $43 · 10th–90th $19$1000%10%20%10th90th$43Professionalmedian $81 · 10th–90th $62$2140%10%10th90th$81$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
$19.05 / $19.05 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $70.79 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.79 / $53.70 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $173.78 / $229.09
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $141.25 / $199.53
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $131.83 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $81.28
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $181.97
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $169.82 / $251.19
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.89 / $35.48 / $117.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $346.74 / $707.95
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Security Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $147.91 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $112.20 / $223.87