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Alaska rates for HCPCS 91200

Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report

Facilitymedian $30 · 10th–90th $30$300%50%100%$30Professionalmedian $32 · 10th–90th $12$910%5%10%10th90th$32$10.0$20.0$50.0$100.0$200.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $131.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $14.13 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.91 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $17.78 / $36.31
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $31.62 / $67.61
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $85.11 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $32.36 / $53.70
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $60.26 / $117.49
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $194.98
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $74.13
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$72.44 / $83.18 / $125.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $75.86 / $93.33
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.60 / $48.98
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $25.12 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $91.20 / $199.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $38.90 / $85.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $52.48 / $112.20