go back

Montana rates for HCPCS 91200

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

Facilitymedian $16 · 10th–90th $16$190%20%40%90th$16Professionalmedian $32 · 10th–90th $14$780%10%10th90th$32$10.0$20.0$50.0$100.0$200.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $41.69 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.14 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $25.70 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $17.78 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.20 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $54.95 / $87.10
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $67.61 / $81.28
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $19.05 / $24.55
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $32.36 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $58.88 / $70.79
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$17.38 / $22.91 / $26.92
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$25.12 / $36.31 / $43.65