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Michigan 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 $14 · 10th–90th $14$180%50%90th$14Professionalmedian $78 · 10th–90th $12$2040%10%10th90th$78$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
$14.45 / $14.45 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.98 / $61.66
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $229.09 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $89.13 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $67.61 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $11.48 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $123.03 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $112.20 / $141.25
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $75.86 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $239.88
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.79 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $100.00 / $223.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.45 / $31.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $234.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $15.49 / $38.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $295.12 / $371.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $97.72 / $181.97
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $154.88
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $21.88
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $81.28 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $112.20 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $15.14 / $38.02
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $93.33 / $144.54