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Kansas rates for HCPCS 95875

Ischemic Limb Xers Tst Spec Acquisj Metab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $133.38 / $305.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.97 / $162.97 / $162.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.46 / $200.83 / $433.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.09 / $165.63 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.99 / $160.72 / $316.69