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Wisconsin rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Facilitymedian $120 · 10th–90th $78$2690%10%20%10th90th$120Professionalmedian $186 · 10th–90th $52$5500%5%10th90th$186$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $426.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $53.70 / $125.89
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $177.83 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $371.54 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $288.40 / $870.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $158.49 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $588.84 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $138.04 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $416.87 / $630.96
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $114.82 / $154.88
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $331.13 / $457.09
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $446.68 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $109.65 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $346.74 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $512.86 / $831.76
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $134.90 / $199.53
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $380.19 / $630.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $467.74 / $691.83
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$120.23 / $331.13 / $331.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $1,122.02 / $1,380.38
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $275.42 / $331.13
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $851.14 / $1,047.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,148.15 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $123.03 / $295.12
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $389.05 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $263.03 / $398.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $316.23 / $630.96