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Wisconsin rates for HCPCS 94453

High Altitude Simulatj W/Phys I&R W/O2 Titration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.75 / $19.75 / $67.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $71.18 / $99.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.52 / $94.07 / $232.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.76 / $55.81 / $85.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.13 / $165.01 / $192.70
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.94 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.26 / $133.16 / $714.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $58.40 / $126.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $158.55 / $224.01
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.92 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.29 / $347.90 / $714.00
Security Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.34 / $29.34 / $29.34
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.97 / $234.86 / $234.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.79 / $116.67 / $260.93