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Georgia rates for HCPCS 91200

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

Facilitymedian $10 · 10th–90th $10$3310%50%10th90th$10Professionalmedian $28 · 10th–90th $11$680%5%10th90th$28$1.0$5.0$20.0$100.0$500.0

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
$10.00 / $10.47 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.02 / $125.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $14.13 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $17.38 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $70.79
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $20.89 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $38.90 / $43.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $46.77 / $81.28
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $18.62 / $32.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.84 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $44.67 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $14.45 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.91 / $30.20 / $138.04
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $79.43
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $17.78 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $28.18 / $48.98