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Louisiana 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
$131.08 / $170.16 / $945.10
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.23 / $28.78 / $90.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $160.44 / $223.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.84 / $26.23 / $35.29
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$54.88 / $75.37 / $94.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.75 / $130.58 / $195.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $83.78 / $112.85
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.85 / $22.40 / $23.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.50 / $266.58 / $387.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.78 / $163.92 / $223.11
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.17 / $27.53 / $36.71
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.32 / $139.19 / $186.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.19 / $125.19 / $125.19
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.05 / $29.61 / $29.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.55 / $370.48 / $526.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.49 / $148.00 / $219.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.36 / $25.91 / $39.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.65 / $124.58 / $189.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.36 / $148.47 / $240.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.82 / $23.88 / $40.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.16 / $126.28 / $224.20