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Nebraska 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
$100.16 / $128.38 / $147.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.86 / $188.19 / $261.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.06 / $269.27 / $321.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.59 / $252.50 / $880.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $253.51 / $331.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.02 / $125.03 / $245.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.88 / $256.36 / $322.23