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Vermont 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 $162 · 10th–90th $155–$3630%20%10th90th$162Professionalmedian $105 · 10th–90th $20–$1950%5%10%10th90th$105$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $177.83 / $229.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $154.88 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $218.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $169.82 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $28.84 / $75.86
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $181.97 / $302.00
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $467.74
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $22.91 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $112.20 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $323.59
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $50.12
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $177.83 / $257.04