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Arizona rates for HCPCS 95875

Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.16 / $126.58 / $185.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.27 / $109.69 / $137.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.14 / $152.13 / $285.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.98 / $134.62 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $124.74 / $242.24