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South Carolina 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 $15 · 10th–90th $13–$180%20%10th90th$15Professionalmedian $72 · 10th–90th $12–$1740%5%10%10th90th$72$5.0$10.0$20.0$50.0$100.0$200.0$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
$12.59 / $15.14 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $218.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.85 / $58.88
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$295.12 / $346.74 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $83.18 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $77.62 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $11.22 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $87.10 / $151.36
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $23.44 / $35.48
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$52.48 / $70.79 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $117.49 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.85 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $104.71 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $181.97
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $89.13 / $154.88