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Pennsylvania rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $138.04 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $52.48 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $158.49 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $74.13 / $85.11
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $204.17 / $426.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $53.70 / $104.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $147.91 / $331.13
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
$165.96 / $281.84 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $64.57 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $208.93 / $346.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $66.07 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $199.53 / $257.04
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $407.38
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $60.26 / $109.65
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $173.78 / $302.00
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $66.07 / $93.33
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $134.90 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $58.88 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $181.97 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $457.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $199.53 / $223.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $51.29 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $151.36 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $234.42 / $398.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $57.54 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $181.97 / $309.03