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Virginia rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.66 / $50.31 / $203.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $203.65 / $245.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.06 / $49.21 / $51.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.60 / $157.00 / $172.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.39 / $242.88 / $395.32
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.60 / $59.85 / $91.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.80 / $182.75 / $302.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.02 / $283.55 / $592.54
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.16 / $62.39 / $79.23
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.63 / $220.63 / $280.20
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
$190.47 / $306.61 / $575.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.38 / $68.81 / $116.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.35 / $228.18 / $399.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.80 / $233.76 / $286.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.68 / $56.02 / $69.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.12 / $177.75 / $217.83
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.11 / $82.86 / $151.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.65 / $283.00 / $424.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $277.31 / $435.04
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.54 / $74.06 / $117.09
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.49 / $239.23 / $381.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.53 / $280.88 / $471.94
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.19 / $66.68 / $107.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.25 / $212.83 / $355.54