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North Carolina rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.10 / $47.10 / $124.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.34 / $193.83 / $363.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.01 / $47.10 / $145.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.25 / $150.59 / $284.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.16 / $75.16 / $75.16
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.56 / $42.56 / $42.56
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.69 / $126.11 / $164.65
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.39 / $388.93 / $507.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.80 / $59.80 / $59.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.19 / $380.71 / $618.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.23 / $86.69 / $152.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.39 / $287.27 / $470.05
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.11 / $82.86 / $146.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.00 / $261.00 / $761.94
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.86 / $82.86 / $192.57
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.54 / $255.54 / $255.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.50 / $580.50 / $580.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.91 / $300.05 / $610.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.14 / $73.79 / $152.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.41 / $226.67 / $456.64
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.98 / $254.79 / $254.79
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.92 / $1,698.38 / $1,698.38
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$330.16 / $417.45 / $417.45
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,044.76 / $1,280.93 / $1,280.93