Limb exercise test with reduced blood flow and muscle samples

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ISCHEMIC FOREARM EXERCISE

Payers reporting CPT 95875

Payer pricing summary

Low

$54

Average

$211

Median

$185

High

$1.1k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +26 other terms	365	$151	$265	$706	266%	—	$48 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	321	$201	$235	$145	62%	—	$1 – $1.1k
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	308	$156	$263	$360	136%	—	$5 – $4.6k
4	Humana fee schedule · outpatient · +23 other terms	273	$157	$259	$554	214%	—	$11 – $8.3k
5	Cigna fee schedule · outpatient · +21 other terms	157	$149	$183	$116	63%	—	$54 – $666
6	WellCare fee schedule · outpatient · +14 other terms	115	$155	$166	$66	40%	—	$8 – $367
7	Molina fee schedule · outpatient · +18 other terms	113	$157	$147	$74	50%	—	$8 – $389
8	Anthem fee schedule · outpatient · +18 other terms	94	$208	$167	$174	104%	—	$11 – $942
9	Devoted fee schedule · outpatient · +9 other terms	66	$144	$135	$31	23%	—	$63 – $173
10	Ambetter facility · fee schedule · outpatient · +11 other terms	65	$230	$362	$783	216%	—	$139 – $7.1k
11	Kaiser fee schedule · outpatient · +9 other terms	63	$186	$235	$182	77%	—	$51 – $1.1k
12	Oscar fee schedule · outpatient · +12 other terms	43	$224	$170	$108	64%	—	$1 – $367
13	Caresource facility · fee schedule · outpatient · +7 other terms	34	$198	$482	$1.4k	291%	—	$44 – $7.9k
14	Optum fee schedule · outpatient · +10 other terms	32	$117	$159	$107	68%	—	$63 – $475
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$271	$255	$101	39%	—	$87 – $499
16	Clover fee schedule · outpatient · +7 other terms	26	$171	$157	$22	14%	—	$116 – $184
17	Tricare fee schedule · outpatient · +15 other terms	22	$125	$128	$12	9%	—	$117 – $153
18	Regence facility · fee schedule · outpatient · +5 other terms	21	$137	$214	$146	68%	—	$130 – $577
19	Highmark fee schedule · outpatient · +6 other terms	19	$122	$121	$64	53%	—	$5 – $389
20	Medicare fee schedule · outpatient · +9 other terms	19	$63	$63	$17	28%	—	$54 – $142
21	Aetna Better Health fee schedule · outpatient · +9 other terms	18	$133	$110	$41	37%	—	$53 – $147
22	Medical Mutual facility · fee schedule · outpatient · +3 other terms	17	$128	$418	$1.2k	291%	—	$66 – $6.0k
23	MultiPlan fee schedule · outpatient · +11 other terms	16	$250	$241	$35	15%	—	$81 – $250
24	Medica fee schedule · both · +8 other terms	15	$197	$190	$121	64%	—	$43 – $428
25	Ucare case rate · outpatient · +6 other terms	15	$164	$162	$3	2%	—	$157 – $164

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