go back

Washington rates for HCPCS 76391

Magnetic Resonance Elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.94 / $97.30 / $474.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.65 / $264.24 / $429.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.93 / $58.94 / $111.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.19 / $208.75 / $318.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $383.48 / $429.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.56 / $89.56 / $100.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.01 / $234.66 / $234.66
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.29 / $502.16 / $1,786.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.61 / $124.29 / $430.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.68 / $389.53 / $1,356.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.01 / $412.22 / $674.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.44 / $96.15 / $164.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.83 / $316.07 / $520.58
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.65 / $116.92 / $156.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.75 / $472.51 / $632.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.17 / $116.92 / $143.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$188.88 / $370.66 / $493.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $241.41 / $488.99
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.19 / $102.28 / $105.40
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.34 / $85.25 / $103.85
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.58 / $298.14 / $311.55
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.22 / $70.22 / $70.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.31 / $481.65 / $593.35
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.14 / $121.66 / $147.56
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.89 / $365.68 / $454.01
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $777.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.29 / $425.71 / $590.20
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.61 / $106.50 / $145.44
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.68 / $321.77 / $453.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.63 / $261.60 / $637.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.47 / $61.92 / $153.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.16 / $203.36 / $483.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.41 / $232.41 / $232.41
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.28 / $54.28 / $54.28
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.13 / $178.13 / $178.13