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Massachusetts 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
$143.71 / $352.59 / $617.33
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.76 / $20.76 / $38.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.71 / $197.99 / $588.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.76 / $27.56 / $85.50
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.14 / $72.20 / $110.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.59 / $157.09 / $271.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $335.51 / $696.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.86 / $52.01 / $176.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $268.12 / $1,205.33
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.48 / $42.81 / $310.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.23 / $251.86 / $1,077.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.38 / $245.33 / $325.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.96 / $290.56 / $497.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.27 / $39.69 / $52.74
BCBS
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$124.64 / $143.22 / $318.48
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.18 / $145.77 / $225.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.79 / $418.03 / $556.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.89 / $24.89 / $24.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.52 / $245.11 / $436.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.99 / $36.72 / $60.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.13 / $222.06 / $383.73
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.85 / $251.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $88.15 / $211.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.33 / $314.52 / $416.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.80 / $50.52 / $67.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.53 / $263.58 / $349.19
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.63 / $372.80 / $896.21
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.54 / $42.82 / $204.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.14 / $696.92 / $696.92
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.94 / $176.87 / $176.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.72 / $279.08 / $1,205.33
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $44.22 / $310.41
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.51 / $274.02 / $1,077.52
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.19 / $263.98 / $302.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.40 / $220.81 / $396.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $35.97 / $80.39
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.51 / $202.78 / $337.97