go back

Alaska rates for HCPCS 93922

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.10 / $38.38 / $473.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.40 / $127.12 / $217.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.65 / $15.74 / $33.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.70 / $79.03 / $142.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.66 / $114.47 / $163.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.72 / $134.19 / $249.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.09 / $18.63 / $43.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.64 / $111.63 / $205.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.78 / $237.75 / $454.80
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.30 / $33.96 / $84.37
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.83 / $203.79 / $377.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.08 / $333.45 / $446.40
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.40 / $47.25 / $64.53
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.20 / $286.20 / $379.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.21 / $241.08 / $439.25
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.57 / $52.20 / $69.26
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.79 / $306.00 / $397.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.50 / $199.24 / $377.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.01 / $34.96 / $66.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.99 / $164.28 / $310.92