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New Mexico rates for HCPCS 91200

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

Facilitymedian $17 · 10th–90th $17$170%50%$17Professionalmedian $24 · 10th–90th $10$650%5%10th90th$24$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
$16.60 / $16.60 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $12.02 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.85 / $21.88 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $20.89 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $61.66
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.78 / $26.30
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $26.92 / $36.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $42.66
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $74.13
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.78 / $23.44
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $20.42 / $29.51
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $31.62 / $46.77