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Georgia 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
$10.11 / $10.11 / $23.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $35.68 / $120.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $12.94 / $28.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.62 / $21.58 / $37.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.94 / $28.18 / $161.72
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.60 / $17.71 / $19.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $48.23 / $68.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.31 / $18.76 / $25.05
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.45 / $33.72 / $43.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $22.56 / $39.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $47.47 / $90.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.52 / $18.76 / $32.97
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.36 / $29.90 / $53.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $48.67 / $251.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.07 / $16.63 / $102.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.33 / $32.04 / $148.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $82.10 / $82.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $50.66 / $84.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.99 / $18.77 / $28.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.25 / $30.18 / $51.20