go back

New York rates for HCPCS 93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.81 / $155.52 / $571.61
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.28 / $24.68 / $41.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.81 / $130.84 / $238.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.78 / $22.28 / $37.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.14 / $110.37 / $189.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $107.71 / $107.71
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.51 / $35.51 / $35.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.44 / $120.44 / $256.77
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.23 / $21.86 / $37.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.86 / $99.81 / $225.48
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.63 / $33.63 / $149.24
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $149.24 / $182.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $354.64 / $737.37
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.51 / $247.71 / $511.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.77 / $29.18 / $72.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.35 / $209.73 / $467.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.02 / $166.29 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.80 / $184.05 / $297.64
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.17 / $30.85 / $49.83
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.86 / $156.63 / $272.19
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.99 / $121.99 / $150.94
Excellus BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.21 / $21.21 / $27.10
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.44 / $181.46 / $302.43
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.68 / $32.34 / $48.87
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.74 / $148.88 / $248.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $354.64 / $737.37
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.01 / $212.80 / $452.34
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.91 / $31.97 / $62.64
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.54 / $174.27 / $364.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $175.59 / $373.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.88 / $26.79 / $55.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.61 / $152.03 / $322.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.99 / $150.94 / $494.66
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.21 / $27.10 / $42.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.34 / $159.82 / $336.67
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.97 / $28.69 / $60.95
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.37 / $137.90 / $275.70