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Hawaii 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)

Professionalmedian $83 · 10th–90th $12$1780%5%10%10th90th$83$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $102.33 / $208.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $28.84
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$128.82 / $128.82 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $91.20 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $117.49 / $186.21
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $14.45 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $104.71 / $162.18
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $177.83
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.98 / $17.38
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $131.83 / $131.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $112.20 / $128.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $13.80 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $97.72 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $125.89 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.85 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $107.15 / $144.54
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $234.42
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $14.13 / $29.51
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $95.50 / $204.17