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California 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.34 / $696.00 / $2,386.51
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.17 / $23.05 / $123.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.20 / $187.84 / $714.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.12 / $23.47 / $92.23
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.91 / $80.25 / $357.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.64 / $161.77 / $324.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.41 / $132.05 / $132.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.36 / $17.48 / $36.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $293.00 / $876.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.30 / $208.97 / $406.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.21 / $30.58 / $68.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.06 / $177.76 / $357.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.90 / $167.99 / $1,130.16
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.30 / $224.58 / $524.92
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.10 / $29.15 / $73.55
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.34 / $197.03 / $464.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.54 / $505.35 / $3,294.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.72 / $24.72 / $24.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.35 / $209.35 / $427.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.34 / $29.59 / $61.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.08 / $184.69 / $370.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.36 / $171.21 / $231.13
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.52 / $30.18 / $45.27
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.18 / $127.80 / $200.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.30 / $171.21 / $303.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.26 / $28.15 / $47.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.74 / $174.50 / $291.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $616.02 / $696.92
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.94 / $143.78 / $176.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.83 / $1,173.20 / $1,205.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$310.41 / $310.41 / $310.41
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$925.73 / $1,048.79 / $1,077.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $146.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.24 / $195.39 / $349.29
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.72 / $24.72 / $24.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $227.20 / $390.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.35 / $28.49 / $58.83
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.76 / $185.44 / $348.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.45 / $443.45 / $443.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.70 / $70.70 / $70.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$372.75 / $372.75 / $372.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.44 / $190.37 / $265.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $170.37 / $402.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.64 / $24.57 / $61.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.10 / $144.66 / $332.44