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Missouri 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
$106.64 / $133.86 / $165.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.93 / $121.29 / $186.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.27 / $161.12 / $278.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.81 / $177.24 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.32 / $152.00 / $278.77