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New York 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
$124.93 / $201.13 / $1,132.03
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.73 / $25.40 / $49.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.33 / $172.84 / $360.90
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.73 / $24.04 / $73.95
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.14 / $72.52 / $118.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.20 / $157.09 / $286.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.08 / $102.08 / $102.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.10 / $30.42 / $38.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.98 / $128.09 / $400.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.89 / $21.50 / $52.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.06 / $105.98 / $302.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $30.58 / $154.49
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.58 / $154.49 / $185.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.84 / $317.20 / $403.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.72 / $24.72 / $24.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $235.52 / $487.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.55 / $33.29 / $71.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.67 / $199.88 / $439.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $160.68 / $346.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.49 / $181.04 / $261.01
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.93 / $28.61 / $42.81
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.83 / $155.22 / $232.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.72 / $72.72 / $72.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.33 / $154.25 / $272.61
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.47 / $26.56 / $45.31
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.48 / $136.61 / $227.30
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.80 / $104.80 / $104.80
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.09 / $20.09 / $20.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.49 / $265.80 / $316.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.19 / $158.83 / $203.11
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.90 / $26.77 / $51.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.77 / $365.66 / $426.82
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.72 / $24.72 / $24.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.49 / $201.05 / $459.26
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.21 / $31.20 / $68.95
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.19 / $154.09 / $411.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.75 / $160.24 / $350.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.32 / $25.59 / $60.67
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.59 / $134.24 / $291.52
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.80 / $151.80 / $565.83
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.23 / $25.23 / $74.25
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.03 / $160.72 / $335.95
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.47 / $26.71 / $56.74
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.58 / $135.26 / $279.20