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North Carolina 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 / $133.86 / $165.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.05 / $170.84 / $332.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $75.00 / $147.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $108.27 / $217.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.47 / $147.15 / $307.01
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.77 / $880.77 / $997.35