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Kansas 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
$14.45 / $17.78 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $93.33 / $181.97
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $14.13 / $28.84
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$28.84 / $28.84 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.66 / $83.18 / $151.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $63.10 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $9.77 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.77 / $46.77 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $112.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $16.60 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $107.15 / $162.18
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.92 / $26.92 / $125.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $138.04 / $776.25
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $17.78 / $269.15
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $125.89 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $173.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $15.49 / $22.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $100.00 / $158.49