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Utah 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 $14 · 10th–90th $14$140%50%$14Professionalmedian $79 · 10th–90th $12$1740%5%10th90th$79$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.18 / $51.29
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$28.84 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $95.50 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $16.98 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $109.65 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $114.82 / $138.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $16.98 / $19.95
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $97.72 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $144.54 / $208.93
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $21.38 / $32.36
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $117.49 / $151.36
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $93.33 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $173.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $14.13 / $22.39
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $89.13 / $147.91