go back

Wisconsin 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 $35 · 10th–90th $12$1260%10%20%10th90th$35Professionalmedian $81 · 10th–90th $12$2820%5%10th90th$81$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $12.02 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.95 / $70.79
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$24.55 / $295.12 / $371.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $87.10 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $17.78 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$70.79 / $107.15 / $295.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $83.18 / $141.25
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $213.80 / $257.04
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $29.51 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $181.97 / $223.87
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $169.82 / $229.09
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $23.44 / $31.62
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $144.54 / $194.98
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $125.89 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $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
$83.18 / $144.54 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $120.23
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $158.49 / $239.88
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $23.44 / $32.36
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $173.78 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $204.17 / $398.11
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $125.89 / $125.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $446.68 / $794.33
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $104.71 / $269.15
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $407.38 / $724.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $416.87
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$27.54 / $36.31 / $112.20
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $186.21 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $229.09 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $38.02 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $117.49 / $239.88