go back

Wyoming 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
$128.37 / $133.91 / $141.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $219.00 / $219.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.64 / $192.44 / $255.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.06 / $226.80 / $436.54