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North Carolina rates for HCPCS 91200

Liver Elastography W/O Imag W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.43 / $10.44 / $20.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $39.02 / $159.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $12.53 / $29.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.23 / $21.58 / $37.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.87 / $48.87 / $62.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.79 / $19.17 / $25.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.01 / $32.47 / $41.81
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.89 / $40.34 / $61.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $52.14 / $89.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.48 / $20.62 / $37.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.39 / $31.28 / $52.60
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.09 / $17.20 / $28.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $31.00 / $48.00
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.20 / $17.20 / $17.20
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.77 / $70.77 / $70.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $82.10 / $82.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.96 / $46.81 / $86.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.60 / $18.12 / $31.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.04 / $28.34 / $52.58
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.00 / $70.00 / $70.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.66 / $254.63 / $254.63
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.84 / $83.70 / $83.70
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.61 / $170.93 / $170.93