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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
$107.15 / $131.83 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $114.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $123.03 / $239.88