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Alabama rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.93 / $12.94 / $12.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.17 / $36.00 / $45.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $12.94 / $16.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.77 / $23.06 / $28.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $27.20 / $27.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.83 / $10.83 / $10.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.24 / $37.31 / $44.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $13.85 / $16.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.13 / $23.46 / $27.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $33.02 / $79.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.25 / $14.82 / $33.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.32 / $21.62 / $47.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $35.81 / $51.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.83 / $14.44 / $19.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.12 / $20.79 / $28.79