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Montana 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 $229 · 10th–90th $174–$6760%20%40%10th90th$229Professionalmedian $123 · 10th–90th $22–$2820%10%10th90th$123$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$676.08 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.42 / $31.62 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $158.49 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $66,069.34 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $645.65
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $199.53 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $29.51 / $50.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $173.78 / $269.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $269.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $269.15
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $323.59
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.88 / $33.88 / $39.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $229.09 / $316.23
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $31.62 / $47.86
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $169.82 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $37.15 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $186.21 / $257.04