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New Hampshire 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 / $121.40 / $175.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.45 / $169.85 / $274.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $198.85 / $410.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $219.30 / $411.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.11 / $182.47 / $397.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.59 / $117.25 / $149.22