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Missouri 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 $302 · 10th–90th $28$1,1750%10%10th90th$302Professionalmedian $110 · 10th–90th $21$2750%5%10th90th$110$5.0$20.0$100.0$500.0$2.0K

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
$131.83 / $371.54 / $1,174.90
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.38 / $26.92 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $29.51 / $70.79
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $97.72 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $16.98 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $28.84 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $141.25 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $158.49 / $199.53
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.88 / $26.30 / $34.67
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $128.82 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $407.38 / $512.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$5.13 / $23.99 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $30.90 / $60.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $165.96 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $186.21 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$48.98 / $177.83 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $32.36 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $169.82 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $141.25 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $162.18 / $251.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $27.54 / $52.48
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $134.90 / $213.80