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Iowa rates for HCPCS 91200

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

Facilitymedian $21 · 10th–90th $14$710%20%40%10th90th$21Professionalmedian $30 · 10th–90th $11$1200%5%10th90th$30$5.0$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
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $14.13 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $15.14 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $64.57 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $21.38 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $42.66 / $67.61
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $15.85 / $104.71
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $23.99 / $151.36
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $74.13 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $27.54 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $44.67 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.12 / $27.54 / $57.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $47.86 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $81.28 / $134.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$25.70 / $27.54 / $57.54
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$47.86 / $52.48 / $77.62
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $31.62 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $56.23 / $97.72
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $22.39 / $38.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.88 / $60.26
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $67.61
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $19.50 / $22.91
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.02 / $38.02 / $44.67