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Nebraska rates for HCPCS 91200

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

Facilitymedian $22 · 10th–90th $21$710%50%10th90th$22Professionalmedian $29 · 10th–90th $11$980%5%10%10th90th$29$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
$21.38 / $22.39 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $15.14 / $33.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $22.39 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $64.57
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $16.22 / $22.39
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.84 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $67.61 / $95.50
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $24.55 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.84 / $43.65 / $57.54
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.14 / $26.30 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.90 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $81.28
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $25.12 / $28.18
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $45.71 / $52.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $67.61 / $72.44
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$20.89 / $23.44 / $25.70
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$38.90 / $43.65 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $63.10 / $81.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $24.55 / $33.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.02 / $48.98