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Illinois rates for HCPCS 91200

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

Facilitymedian $15 · 10th–90th $10$220%20%10th90th$15Professionalmedian $30 · 10th–90th $11$1120%5%10th90th$30$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
$10.00 / $15.49 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $15.49 / $61.66
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.80 / $15.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $30.90 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.60 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $28.18 / $43.65
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $120.23 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $25.12 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $28.18 / $147.91
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $39.81
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $12.88 / $13.49
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $23.44 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.88 / $17.38 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $26.92 / $44.67