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Ohio 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 / $127.25 / $155.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $112.48 / $182.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $67.51 / $136.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $153.22 / $297.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.79 / $151.59 / $236.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $79.45 / $121.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $149.85 / $272.52