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New Jersey rates for HCPCS 91200

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

Facilitymedian $17 · 10th–90th $14$220%20%10th90th$17Professionalmedian $27 · 10th–90th $11$630%5%10th90th$27$5.0$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
$14.13 / $16.98 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $37.15 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $51.29 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $16.98 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.84 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $52.48 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.60 / $21.38
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $35.48 / $45.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $40.74 / $79.43
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $14.13 / $33.11
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $30.20 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $72.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.12 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $25.70 / $45.71