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Massachusetts rates for HCPCS 91200

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

Facilitymedian $13 · 10th–90th $13$340%50%90th$13Professionalmedian $30 · 10th–90th $12$950%5%10th90th$30$5.0$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
$12.88 / $12.88 / $12.88
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 / $15.14 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $52.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $25.70 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $194.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $18.62 / $69.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.88 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $61.66 / $186.21
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $19.95 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $100.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $19.05 / $35.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $32.36 / $67.61
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $22.91 / $51.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $66.07 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $16.98 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $33.11 / $61.66
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $79.43
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$22.91 / $25.70 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $194.98
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $18.62 / $69.18
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $33.88 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $104.71
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.50 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $35.48 / $69.18