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Connecticut 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
$178.81 / $562.90 / $828.69
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.10 / $86.85 / $127.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.38 / $214.52 / $588.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.03 / $31.10 / $87.66
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$62.47 / $99.00 / $219.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.47 / $166.90 / $296.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.69 / $747.77 / $964.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.16 / $223.17 / $308.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.88 / $33.28 / $43.45
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.39 / $192.55 / $266.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.56 / $444.93 / $917.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.05 / $241.93 / $415.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.88 / $34.77 / $65.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.46 / $211.10 / $354.55
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.58 / $218.57 / $271.50
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.12 / $30.25 / $40.90
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.47 / $190.85 / $222.75
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.80 / $721.80 / $721.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $43.01 / $251.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $219.15 / $385.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.52 / $34.76 / $64.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.24 / $181.12 / $333.76