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Utah 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 $331 · 10th–90th $141–$4790%10%20%10th90th$331Professionalmedian $117 · 10th–90th $21–$2880%10%10th90th$117$5.0$20.0$100.0$500.0

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
$162.18 / $363.08 / $478.63
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $660.69
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $21.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $144.54 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $295.12 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $199.53 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.44 / $30.20 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $165.96 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $309.03 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$24.55 / $30.90 / $37.15
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $151.36 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $323.59
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $38.90 / $57.54
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $190.55 / $229.09
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $144.54 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $275.42
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.05 / $25.70 / $43.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $229.09