go back

Ohio 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
$145.04 / $575.78 / $1,005.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.98 / $31.46 / $66.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.27 / $168.37 / $334.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.98 / $25.59 / $58.85
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$59.50 / $62.47 / $108.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.28 / $140.37 / $263.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.99 / $102.08 / $242.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.05 / $19.72 / $33.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.29 / $176.94 / $317.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.79 / $26.07 / $45.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.17 / $153.66 / $272.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $112.23 / $156.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $116.02 / $164.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.45 / $301.77 / $638.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.17 / $176.80 / $290.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.66 / $29.05 / $43.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.20 / $150.28 / $246.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.55 / $389.16 / $822.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.12 / $168.38 / $282.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.06 / $29.52 / $43.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.20 / $147.05 / $246.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.94 / $106.74 / $150.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.57 / $162.36 / $284.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.32 / $28.01 / $53.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.40 / $141.22 / $245.74