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Maryland rates for HCPCS 76391

Magnetic Resonance Elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.01 / $45.01 / $45.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.46 / $208.70 / $502.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.01 / $49.21 / $132.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.50 / $157.00 / $381.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.20 / $283.02 / $323.49
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.15 / $62.39 / $71.31
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.25 / $220.63 / $252.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.75 / $308.45 / $565.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.50 / $62.43 / $122.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.22 / $234.33 / $427.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.21 / $247.51 / $403.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.62 / $60.41 / $85.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.83 / $188.20 / $317.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.11 / $240.71 / $400.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.99 / $57.02 / $109.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.39 / $179.01 / $304.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.10 / $229.18 / $297.93
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.89 / $54.92 / $71.40
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$126.21 / $174.26 / $222.78