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Missouri rates for HCPCS 91200

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

Facilitymedian $10 · 10th–90th $10$250%50%10th90th$10Professionalmedian $26 · 10th–90th $11$790%5%10%10th90th$26$2.0$10.0$50.0$200.0

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
$10.00 / $10.23 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $13.80 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $21.88 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.59 / $15.14 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $21.88 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $51.29
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.13 / $19.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.12 / $32.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.51 / $11.75 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $83.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.78 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $28.18 / $53.70
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $19.05 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $29.51 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $41.69 / $67.61
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.22 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $25.70 / $41.69