go back

West 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
$18.53 / $18.53 / $18.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $64.90 / $88.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $20.58 / $20.58
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
$62.99 / $82.44 / $203.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.22 / $74.80 / $117.29