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Wyoming rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.88 / $49.88 / $50.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.78 / $216.19 / $277.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.81 / $49.21 / $58.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.98 / $166.97 / $218.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.00 / $888.00 / $1,641.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.00 / $219.00 / $404.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$407.00 / $669.00 / $1,237.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.04 / $354.69 / $825.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.20 / $81.72 / $146.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.84 / $262.29 / $508.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.34 / $455.54 / $732.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.63 / $100.14 / $173.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.71 / $345.49 / $558.79