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Alaska rates for HCPCS 76391

Magnetic Resonance Elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$163.55 / $163.55 / $163.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.19 / $623.79 / $623.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.21 / $180.13 / $180.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.97 / $443.67 / $443.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.81 / $759.89 / $1,125.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.50 / $170.13 / $195.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.32 / $431.03 / $580.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.01 / $589.02 / $1,282.99
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.35 / $153.72 / $379.50
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$339.12 / $438.63 / $903.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.75 / $865.80 / $1,461.69
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.75 / $209.25 / $353.13
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$565.00 / $660.40 / $1,108.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.57 / $775.00 / $1,398.60
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.13 / $237.00 / $353.13
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$508.00 / $744.00 / $1,108.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.46 / $834.15 / $2,662.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.84 / $233.46 / $735.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.63 / $599.88 / $1,927.00