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Indiana 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
$11.16 / $12.72 / $23.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $86.01 / $138.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.95 / $12.65 / $21.06
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$37.09 / $38.03 / $46.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.89 / $73.44 / $114.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.39 / $94.89 / $116.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $10.24 / $17.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $112.05 / $150.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.71 / $11.55 / $16.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.31 / $100.50 / $135.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.17 / $70.55 / $94.89
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.54 / $13.54 / $13.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.58 / $108.76 / $178.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.69 / $15.49 / $25.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.35 / $94.68 / $156.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.19 / $103.34 / $166.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.85 / $13.81 / $20.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.06 / $92.09 / $151.93