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Kansas 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
$144.69 / $363.08 / $2,541.32
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.63 / $30.25 / $48.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.58 / $163.31 / $281.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.98 / $23.55 / $48.22
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.20 / $77.23 / $140.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.23 / $135.35 / $233.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $96.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.39 / $22.13 / $22.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $456.72 / $761.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.91 / $200.91 / $200.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.13 / $207.95 / $513.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.71 / $195.43 / $299.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.08 / $31.69 / $57.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.67 / $163.27 / $242.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.58 / $220.27 / $323.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.94 / $48.94 / $176.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $213.88 / $1,173.20
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $31.24 / $310.41
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.24 / $187.24 / $1,048.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $184.92 / $289.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $28.56 / $55.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.24 / $170.17 / $254.57