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Louisiana rates for HCPCS 91200

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

Facilitymedian $19 · 10th–90th $12$390%20%10th90th$19Professionalmedian $25 · 10th–90th $11$550%5%10th90th$25$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.05 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $40.74 / $79.43
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $22.91 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $10.72 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $43.65
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $13.80 / $16.22
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $25.12 / $27.54
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.05 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $14.45 / $24.55
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $23.99 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $38.02 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.45 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $23.44 / $37.15