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North Dakota 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
$12.43 / $19.53 / $21.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $115.56 / $197.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.01 / $12.46 / $33.01
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$37.77 / $42.94 / $45.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.70 / $104.06 / $180.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.09 / $198.80 / $208.48
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.01 / $28.40 / $29.69
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.08 / $170.40 / $178.70
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
$89.82 / $170.63 / $260.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.76 / $22.92 / $34.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.01 / $140.44 / $226.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.37 / $167.93 / $768.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.99 / $23.40 / $267.48
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.70 / $144.59 / $698.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.62 / $153.01 / $205.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.99 / $22.37 / $29.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.63 / $140.75 / $176.31