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Hawaii rates for HCPCS 91200

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

Professionalmedian $28 · 10th–90th $11$620%5%10%10th90th$28$10.0$20.0$50.0$100.0$200.0$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
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $12.88 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.22 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $38.02
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $50.12
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.62 / $19.05 / $19.95
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $30.90 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $13.80 / $15.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $30.90 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $83.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $18.62 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $50.12
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $47.86 / $158.49
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $12.88 / $17.38
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $22.91 / $30.90