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Tennessee 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
$107.15 / $131.83 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $147.91 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $239.88