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West Virginia 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
$110.02 / $133.91 / $144.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.71 / $63.08 / $120.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.60 / $131.52 / $458.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $123.43 / $172.80