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Ohio rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $69.18 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $52.48 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $158.49 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $60.26 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $275.42 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $69.18 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $208.93 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $58.88 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $70.79 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $213.80 / $371.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.59 / $58.88 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $575.44
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $69.18 / $131.83
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $204.17 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $134.90
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $295.12 / $295.12
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $426.58
SummaCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $60.26 / $109.65
SummaCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $87.10 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $426.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $57.54 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $177.83 / $331.13