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Maine rates for HCPCS 91200

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

Facilitymedian $14 · 10th–90th $14$150%20%40%90th$14Professionalmedian $28 · 10th–90th $11$690%5%10th90th$28$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$13.80 / $13.80 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $81.28
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $13.80 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $40.74 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $13.80 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $26.92 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $17.38 / $29.51
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $25.70 / $48.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $52.48 / $95.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $16.60 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $34.67 / $64.57
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.80 / $13.80 / $14.79
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.90 / $69.18
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.13 / $25.70
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $23.99 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $95.50
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $17.78 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $28.84 / $51.29