go back

Louisiana rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.87 / $16.22 / $19.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $41.50 / $54.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.58 / $16.16 / $21.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.55 / $25.29 / $35.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.89 / $9.89 / $17.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.85 / $38.95 / $58.59
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.22 / $13.94 / $24.41
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.40 / $25.09 / $34.18
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.84 / $19.02 / $19.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $37.10 / $60.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.89 / $13.77 / $24.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.21 / $23.16 / $38.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $37.89 / $67.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.91 / $15.21 / $27.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.63 / $23.45 / $39.85