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Indiana rates for HCPCS 91200

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

Facilitymedian $15 · 10th–90th $10$200%10%20%10th90th$15Professionalmedian $25 · 10th–90th $10$650%5%10%10th90th$25$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 / $14.79 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $42.66 / $112.20
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $20.89 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $32.36 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.49 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $26.92 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $33.88 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $14.13 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $19.50 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $22.39 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $67.61
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $15.85 / $25.70
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.70 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $15.14 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $23.99 / $37.15