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Massachusetts 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
$103.60 / $128.38 / $165.52
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.14 / $223.24 / $880.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.01 / $236.61 / $456.95
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.84 / $81.93 / $173.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.46 / $279.73 / $374.25
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.18 / $261.73 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.62 / $179.40 / $405.35