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Illinois 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
$104.71 / $131.83 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $123.03 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $186.21 / $416.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $251.19