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Mississippi rates for HCPCS 91200

Liver Elastography W/O Imag W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.15 / $12.15 / $20.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $39.35 / $55.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.46 / $15.03 / $20.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.69 / $23.76 / $35.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.83 / $10.83 / $10.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $46.00 / $46.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $44.35 / $71.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.91 / $17.89 / $30.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.07 / $25.82 / $40.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $38.54 / $61.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.67 / $15.86 / $23.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.68 / $23.45 / $38.22