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New York 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 / $185.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.24 / $122.26 / $241.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.13 / $111.14 / $194.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.01 / $178.58 / $441.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.92 / $166.02 / $242.97
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.49 / $123.65 / $279.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.60 / $184.29 / $403.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.14 / $150.10 / $343.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.97 / $143.04 / $311.06