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Texas 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 / $132.46 / $180.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.07 / $117.18 / $192.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.14 / $157.21 / $246.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.77 / $880.77 / $997.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.60 / $178.17 / $263.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.83 / $100.19 / $209.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.23 / $172.85 / $323.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.17 / $136.41 / $214.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $116.52 / $158.21