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Massachusetts rates for HCPCS 91200

Liver Elastography W/O Imag W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$13.76 / $13.76 / $13.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.67 / $44.98 / $160.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.06 / $14.97 / $40.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.54 / $22.29 / $37.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.13 / $25.68 / $70.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $61.74 / $195.66
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.17 / $22.82 / $69.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.46 / $42.10 / $129.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $10.00 / $35.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.17 / $19.89 / $26.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $56.00 / $107.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.56 / $20.76 / $36.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.22 / $37.10 / $70.61
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $20.92 / $46.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $75.06 / $97.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.70 / $25.18 / $32.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.58 / $48.73 / $63.98
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $32.90 / $79.05
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.22 / $70.00 / $70.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $62.07 / $195.66
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.44 / $25.45 / $69.84
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.45 / $45.52 / $129.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $54.92 / $108.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.44 / $21.70 / $38.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.45 / $38.61 / $90.25