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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
$107.15 / $131.83 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $128.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $288.40