go back

Kentucky 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 / $127.25 / $162.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $111.60 / $169.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.22 / $74.51 / $133.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.79 / $139.72 / $223.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $32.34 / $60.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $130.33 / $253.13