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CPT 93985: Conducting a bilateral ultrasound assessment of blood flow in arteries and veins for hemodialysis - Prior Authorization and Price

CPT code 93985 is Conducting a bilateral ultrasound assessment of blood flow in arteries and veins for hemodialysis. See what Aetna, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.

CPT 93985

Conducting a bilateral ultrasound assessment of blood flow in arteries and veins for hemodialysis.

Cardiac & Vascular Testing
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Payer guidelines that apply

PayerReviewed usingGuidelineSections
Aetna eviCore 1 that name this code
Anthem BCBS Carelon Current guideline None found
Cigna eviCore 1 that name this code
Medicare CMS — None found
Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules.
UnitedHealthcare UnitedHealthcare / eviCore 1 that name this code

Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.

Conditions the guidelines address for this study

These are the clinical situations where payer guidelines discuss Conducting a bilateral ultrasound assessment of blood flow in arteries and veins for hemodialysis. Each has its own criteria for when the study is considered appropriate.

  • Imaging for Hemodialysis Access Aetna · Cigna · UnitedHealthcare

Typical price

Commercial insurance, median
$555
Middle half of rates: $337 to $912
Medicare, hospital outpatient
$244
Facility payment
Medicare, physician fee schedule
$250
National, non-facility

Commercial figures come from negotiated rates published by 698 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.

Get notified when the rules for this study change

Payers update imaging guidelines several times a year. We will email you when the criteria for Conducting a bilateral ultrasound assessment of blood flow in arteries and veins for hemodialysis change.

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