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Washington 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 / $136.07 / $253.39
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.47 / $271.93 / $1,045.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $220.62 / $377.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.42 / $168.51 / $320.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $118.92 / $232.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.28 / $287.14 / $351.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.96 / $240.61 / $333.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.74 / $217.67 / $387.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $119.55 / $135.16