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Idaho 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 $229 · 10th–90th $91–$4680%10%10th90th$229Professionalmedian $123 · 10th–90th $21–$2570%5%10th90th$123$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$204.17 / $239.88 / $602.56
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $363.08
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
$97.72 / $147.91 / $229.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $316.23 / $512.86
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $239.88 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $40.74 / $42.66
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $199.53 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $467.74 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $204.17 / $338.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $32.36 / $58.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $169.82 / $275.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $512.86
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $87.10 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $354.81 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $204.17 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $35.48 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $37.15 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $194.98 / $275.42
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $33.11 / $83.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $501.19
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $257.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.92 / $31.62 / $40.74
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $162.18 / $213.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $134.90 / $331.13
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $19.95 / $34.67
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $102.33 / $173.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $281.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $32.36 / $42.66
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $177.83 / $239.88