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Maryland 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
$137.16 / $573.12 / $1,212.22
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.80 / $24.69 / $27.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.68 / $178.25 / $649.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.84 / $23.28 / $60.72
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.67 / $65.36 / $110.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.50 / $157.09 / $324.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.66 / $164.07 / $210.01
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.11 / $22.35 / $32.63
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.55 / $141.72 / $181.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.49 / $157.49 / $157.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.52 / $187.56 / $291.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.82 / $29.19 / $47.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.13 / $166.82 / $246.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $174.67 / $240.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.50 / $27.31 / $43.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.90 / $146.93 / $204.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.18 / $172.04 / $276.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.59 / $25.07 / $45.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.45 / $147.81 / $245.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.40 / $155.71 / $192.35
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.50 / $24.72 / $30.87
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.90 / $130.97 / $163.37