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Nebraska 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 $24 · 10th–90th $15$360%20%10th90th$24Professionalmedian $76 · 10th–90th $11$2000%5%10th90th$76$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
$15.14 / $23.99 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.14 / $46.77
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$19.05 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $93.33 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.33 / $20.89 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $17.38 / $23.99
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $102.33 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $177.83 / $223.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $24.55 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $154.88 / $190.55
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $162.18 / $776.25
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $22.39 / $269.15
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $147.91 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $177.83 / $213.80
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $25.70 / $31.62
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $151.36 / $181.97
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $194.98
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $22.91 / $28.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $154.88 / $177.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $79.43 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $154.88 / $218.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $21.38 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $131.83 / $194.98