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New York rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.06 / $77.43 / $140.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.92 / $215.98 / $583.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.06 / $50.93 / $117.68
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.54 / $162.34 / $340.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $158.22 / $158.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.10 / $270.83 / $602.77
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.07 / $60.94 / $131.34
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.02 / $209.90 / $432.69
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $245.68 / $321.66
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
$177.31 / $359.09 / $915.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.31 / $73.36 / $162.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.21 / $260.70 / $675.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.18 / $282.44 / $412.83
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.86 / $68.31 / $107.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.72 / $200.98 / $321.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.85 / $327.45 / $434.71
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.38 / $85.58 / $111.13
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.61 / $241.87 / $323.58
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.44 / $154.44 / $158.51
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.62 / $66.62 / $66.62
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.80 / $59.80 / $59.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.37 / $319.37 / $679.35
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.75 / $72.13 / $153.59
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.03 / $233.66 / $547.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.47 / $243.94 / $566.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.03 / $57.02 / $136.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$143.40 / $186.88 / $442.84
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.98 / $60.98 / $84.49
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $343.93 / $539.04
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.92 / $88.90 / $137.80
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.09 / $254.04 / $401.24