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Delaware 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
$11.78 / $12.33 / $31.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $121.68 / $252.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.55 / $12.84 / $16.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$38.83 / $42.74 / $57.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.05 / $108.84 / $122.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $121.76 / $151.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.14 / $14.14 / $21.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.84 / $111.84 / $134.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $115.14 / $115.14
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.79 / $11.88 / $11.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.62 / $137.88 / $214.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.06 / $14.42 / $28.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.87 / $112.75 / $182.96