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Hawaii 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)

Professionalmedian $123 · 10th–90th $23–$2750%5%10%10th90th$123$5.0$10.0$20.0$50.0$100.0$200.0$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
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $158.49 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $25.70 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $141.25 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $181.97 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $25.70 / $46.77
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $154.88 / $245.47
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $229.09 / $269.15
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$29.51 / $30.90 / $31.62
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $199.53 / $199.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $177.83 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $25.12 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $151.36 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $28.84 / $87.10
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $162.18 / $218.78
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $173.78 / $363.08
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.70 / $52.48
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $144.54 / $309.03