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Alaska rates for HCPCS 93923

Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)

Facilitymedian $240 · 10th–90th $126–$5250%10%10th90th$240Professionalmedian $120 · 10th–90th $22–$3390%5%10%10th90th$120$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Typical Low / Median / Typical High
$426.58 / $524.81 / $524.81
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $154.88 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.70 / $66.07
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $128.82 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $34.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $190.55 / $338.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $371.54
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $346.74 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $64.57 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $295.12 / $446.68
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $524.81 / $707.95
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $87.10 / $114.82
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $436.52 / $602.56
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $208.93 / $346.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $389.05
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $29.51 / $77.62
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $151.36 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $61.66 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $251.19 / $478.63