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Illinois 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
$12.02 / $16.98 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $19.05 / $47.86
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$24.55 / $35.48 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $91.20 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $66.07 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.22 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$13.18 / $15.85 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $47.86 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $69.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $114.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $16.60 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $102.33 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $134.90 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.49 / $20.89 / $128.82
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $87.10 / $138.04
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $97.72 / $107.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $14.79 / $16.22
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $83.18 / $91.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $112.20 / $181.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $15.49 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $97.72 / $162.18