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Montana 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 $18 · 10th–90th $18–$220%20%40%90th$18Professionalmedian $83 · 10th–90th $12–$1820%5%10th90th$83$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.85 / $36.31
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$25.12 / $35.48 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $102.33 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.60 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$66.07 / $112.20 / $177.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $144.54 / $257.04
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $147.91 / $204.17
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $18.20 / $25.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $109.65 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $144.54 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $20.89 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $123.03 / $173.78