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Washington 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 $20 · 10th–90th $15$340%10%20%10th90th$20Professionalmedian $85 · 10th–90th $12$2090%5%10th90th$85$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
$15.85 / $20.42 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $109.65 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $57.54
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$28.84 / $295.12 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $95.50 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $21.88 / $23.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $229.09
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $23.44 / $32.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $138.04 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $20.42 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $144.54 / $234.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.80 / $22.39 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $20.89 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $144.54 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $186.21
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$15.85 / $16.22 / $16.22
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $239.88
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.99 / $33.88
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $147.91 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $162.18 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $23.44 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $138.04 / $194.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $141.25 / $229.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $120.23 / $194.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $190.55
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $13.49 / $23.99
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $165.96