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Georgia 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
$104.66 / $133.33 / $162.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.13 / $136.62 / $277.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.70 / $158.31 / $282.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.06 / $151.35 / $397.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $102.01 / $207.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.82 / $152.15 / $316.43