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Oklahoma 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 / $126.58 / $140.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.78 / $147.28 / $184.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.55 / $136.41 / $880.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.68 / $127.00 / $227.51