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North Dakota rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.25 / $14.25 / $14.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.34 / $37.52 / $100.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.99 / $14.25 / $34.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.48 / $22.53 / $56.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.83 / $73.84 / $77.44
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.38 / $25.16 / $26.29
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.45 / $48.69 / $51.06
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
$34.83 / $54.65 / $94.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.68 / $19.28 / $31.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.89 / $35.90 / $63.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $73.70 / $195.66
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.21 / $27.66 / $69.84
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.87 / $47.42 / $129.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.68 / $70.95 / $89.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.21 / $25.81 / $33.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.87 / $45.67 / $55.79