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Indiana 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 $234 · 10th–90th $28–$9330%10%10th90th$234Professionalmedian $107 · 10th–90th $21–$2340%5%10%10th90th$107$5.0$20.0$100.0$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
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $309.03 / $1,202.26
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.92 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $28.18 / $64.57
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $117.49 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $117.49 / $165.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $26.30 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $346.74 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $144.54 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $37.15 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $114.82 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $120.23 / $162.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $109.65 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $288.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $27.54 / $48.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $147.91 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $131.83 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $245.47
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $24.55 / $40.74
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $134.90 / $218.78