go back

New Jersey 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
$13.59 / $13.60 / $19.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.05 / $108.70 / $176.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.14 / $12.63 / $24.32
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$37.93 / $46.26 / $78.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.50 / $97.09 / $157.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $60.62 / $78.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.50 / $10.45 / $14.17
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $95.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.37 / $132.81 / $260.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $16.17 / $30.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.45 / $114.65 / $205.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.16 / $125.74 / $260.74
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $16.80 / $36.11
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.97 / $108.94 / $224.60
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.55 / $98.24 / $166.80
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.80 / $11.53 / $106.80
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.74 / $72.64 / $137.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.18 / $97.95 / $188.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.32 / $12.99 / $23.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.32 / $88.36 / $166.22