CPT 93880: Duplex Scan of Arteries for Blood Flow Evaluation
Medicare pays $131 and commercial payers pay $310 on average nationally for this procedure.
CPT code 93880 describes a duplex scan of arteries using real‑time ultrasound imaging combined with pulsed Doppler to visualize and selectively assess peripheral arterial blood flow, identify stenosis or occlusion, and evaluate incompetent veins; this is a non‑invasive vascular diagnostic service typically performed in outpatient imaging suites, vascular labs, or hospital radiology departments for evaluation of peripheral arterial disease and related vascular conditions.
For related coverage guidance, see recent payer policy updates: Lumbar Microdiscectomy, Artificial Cervical Intervertebral Disc, Lumbar Decompression.
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National Reimbursement Benchmarks
Nationally, Medicare's mean allowed amount sits at $131.30, notably below BUCA's average commercial mean of $309.90, indicating that commercial contracts tracked by BUCA reimburse, on average, roughly $178.60 more per service than Medicare. This gap highlights material differences between government and commercial payment levels for CPT 93880 without invoking any specific plan features.
Dispersion varies by payer: Blue Cross Blue Shield has the widest interquartile range at $155.50 (P75 $483.30 minus P25 $293.80), followed by UnitedHealth Group at $211.91? Wait — must compute correctly: UnitedHealth Group P75 $301.20 minus P25 $93.10 equals $208.10, and BUCA's IQR is $192.40 (P75 $392.90 minus P25 $200.50). The tightest spread is Aetna at $159.00 (P75 $215.00 minus P25 $54.60). These differences reflect how concentrated or variable allowed amounts are across commercial payers.