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Minnesota 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
$120.39 / $139.94 / $188.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.79 / $333.18 / $429.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.09 / $334.46 / $520.82
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.04 / $311.32 / $470.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.31 / $272.32 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.51 / $272.16 / $498.34