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New Mexico 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
$109.66 / $126.17 / $156.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.86 / $157.51 / $260.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $82.33 / $168.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.86 / $168.92 / $306.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.85 / $183.56 / $297.83