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Wisconsin 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 $275 · 10th–90th $72$9770%10%10th90th$275Professionalmedian $117 · 10th–90th $23$3310%5%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
$151.36 / $630.96 / $977.24
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $177.83 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $30.90 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $123.03 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $194.98 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $32.36 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $162.18 / $446.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $158.49 / $199.53
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $128.82 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $660.69
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $331.13 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$23.99 / $53.70 / $61.66
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $281.84 / $346.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $173.78 / $338.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $269.15 / $363.08
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $42.66 / $56.23
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $223.87 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $616.60
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $177.83 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $257.04 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $39.81 / $309.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $218.78 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $186.21
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $295.12
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $363.08
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$28.84 / $42.66 / $53.70
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $263.03 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $323.59 / $524.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $831.76 / $831.76
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $177.83 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $691.83 / $1,202.26
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $154.88 / $309.03
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $602.56 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $660.69
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $64.57 / $165.96
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $138.04 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $218.78 / $426.58
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $70.79 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $177.83 / $363.08