go back

Hawaii 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
$78.39 / $104.66 / $180.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.45 / $130.10 / $159.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.77 / $90.91 / $170.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.31 / $153.06 / $178.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $159.44 / $224.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.87 / $139.24 / $193.12