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Iowa rates for HCPCS 76391

Magnetic Resonance Elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.58 / $70.58 / $70.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $200.85 / $270.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.27 / $50.01 / $79.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.50 / $150.83 / $208.75
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.08 / $160.76 / $165.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.08 / $476.28 / $643.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.10 / $118.68 / $158.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.63 / $357.60 / $485.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.45 / $274.89 / $1,061.21
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.12 / $74.42 / $276.83
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.97 / $200.46 / $663.80
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.98 / $234.66 / $234.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.88 / $379.26 / $1,374.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.48 / $81.81 / $330.16
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.43 / $243.27 / $1,044.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.76 / $165.44 / $289.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.02 / $431.95 / $687.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.20 / $271.20 / $271.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.56 / $325.08 / $655.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.48 / $81.81 / $162.16
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.06 / $243.27 / $537.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $451.90 / $531.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.17 / $115.40 / $135.69
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.83 / $336.50 / $395.90