go back

Washington, DC 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
$121.40 / $136.07 / $137.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.37 / $142.63 / $235.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.53 / $326.97 / $520.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.26 / $285.05 / $285.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.57 / $177.30 / $360.97