go back

North Dakota rates for HCPCS 91200

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

Facilitymedian $14 · 10th–90th $11$140%50%10th$14Professionalmedian $28 · 10th–90th $13$760%5%10th90th$28$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $34.67
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $22.91 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $77.62
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $23.99 / $26.30
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$34.67 / $45.71 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $19.05 / $33.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $34.67 / $63.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $69.18 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $25.70 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $44.67 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $66.07 / $91.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $22.39 / $34.67
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $41.69 / $56.23