go back

Washington 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
$184.55 / $488.00 / $822.65
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.94 / $41.74 / $60.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.46 / $187.84 / $403.71
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.86 / $26.95 / $59.20
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$61.23 / $92.28 / $180.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.58 / $164.30 / $304.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.27 / $102.08 / $243.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.10 / $38.02 / $40.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.45 / $459.72 / $616.02
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.94 / $176.87 / $176.87
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.40 / $327.54 / $1,173.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.30 / $49.70 / $310.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.29 / $266.72 / $1,048.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.20 / $549.66 / $734.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.09 / $266.55 / $427.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.68 / $39.72 / $67.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.07 / $222.81 / $365.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.59 / $275.57 / $456.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.46 / $44.98 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.24 / $284.20 / $424.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.46 / $43.94 / $55.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.84 / $238.52 / $360.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $159.79 / $277.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.42 / $255.56 / $286.70
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.83 / $40.89 / $42.88
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.60 / $34.65 / $46.12
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.40 / $198.82 / $266.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.95 / $173.95 / $178.69
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.25 / $29.25 / $29.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.95 / $298.06 / $366.48
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.99 / $48.79 / $59.99
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.96 / $252.06 / $306.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.11 / $442.67 / $846.77
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$270.73 / $270.73 / $459.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.41 / $254.34 / $346.23
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.03 / $42.08 / $56.67
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.38 / $212.70 / $289.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.09 / $252.41 / $389.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.32 / $36.54 / $62.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.72 / $217.83 / $308.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.97 / $149.97 / $149.97
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.69 / $21.69 / $21.69
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.29 / $128.29 / $128.29