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Michigan rates for HCPCS 91200

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

Facilitymedian $13 · 10th–90th $12$150%50%10th90th$13Professionalmedian $30 · 10th–90th $12$1100%10%10th90th$30$0.2$1.0$5.0$20.0$100.0$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
$12.02 / $12.88 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $173.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $17.38 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $22.91 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $19.05 / $19.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $46.77
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.92 / $26.92 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $23.99 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $15.85 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $25.70 / $56.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$11.75 / $15.49 / $31.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $40.74 / $125.89
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $14.79 / $40.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.60 / $23.99 / $50.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $60.26
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.49 / $22.91
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $25.12 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $61.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $15.85 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $23.99 / $40.74