go back

Arkansas 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
$17.63 / $17.89 / $26.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.78 / $48.14 / $168.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.77 / $16.95 / $39.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.69 / $25.21 / $33.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $35.15 / $35.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.83 / $10.83 / $14.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $54.47 / $60.52
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $20.98 / $23.31
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.30 / $33.49 / $37.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $19.57 / $34.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $48.29 / $64.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.31 / $18.85 / $24.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.79 / $27.34 / $39.84
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $40.43 / $40.43
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.09 / $17.09 / $17.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.21 / $40.19 / $68.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.00 / $15.88 / $25.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.93 / $26.25 / $42.66