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Idaho rates for HCPCS 91200

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

Facilitymedian $17 · 10th–90th $17$170%50%$17Professionalmedian $28 · 10th–90th $12$660%5%10th90th$28$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $39.81
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.91 / $40.74
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $58.88 / $60.26
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $20.42 / $21.38
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.90 / $37.15 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $47.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $17.78 / $25.12
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $30.90 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $234.42 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $61.66 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $20.89 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $39.81 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $23.44 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $14.45 / $23.99
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $28.84 / $46.77
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $309.03
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $10.47 / $16.98
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $20.89 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $50.12 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $19.95 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $30.20 / $44.67