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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)

Facilitymedian $17 · 10th–90th $12$210%20%10th90th$17Professionalmedian $72 · 10th–90th $12$1780%10%10th90th$72$0.2$1.0$5.0$20.0$100.0$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
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $16.98 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $18.62 / $45.71
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$12.88 / $35.48 / $346.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $87.10 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $12.02 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$15.85 / $16.22 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $51.29 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $69.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $114.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.60 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $102.33 / $169.82
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $20.89 / $128.82
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $87.10 / $138.04
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $97.72 / $107.15
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $14.79 / $16.22
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $83.18 / $91.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $204.17
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $20.89 / $32.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $97.72 / $162.18