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New York 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
$10.96 / $15.85 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $46.77 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $15.14 / $58.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.78 / $21.88 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $12.88 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $23.44 / $45.71
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $29.51 / $44.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.51 / $11.75 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $51.29 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $19.95 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $33.88 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $52.48 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $16.60 / $21.88
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.12 / $35.48 / $46.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.02 / $64.57
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $13.18 / $22.39
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $24.55 / $42.66
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $10.96 / $10.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $83.18
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $19.05 / $28.84
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.30 / $30.90 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $89.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.47 / $15.14 / $33.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $25.70 / $57.54
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.24 / $12.30 / $19.05
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $72.44
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $13.18 / $26.92
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.79 / $23.44 / $47.86