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New Jersey 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
$96.60 / $127.55 / $165.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.01 / $172.41 / $302.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.63 / $181.40 / $235.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.32 / $121.13 / $186.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $137.72 / $259.82