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New York rates for HCPCS 91200

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

Facilitymedian $15 · 10th–90th $11$810%10%10th90th$15Professionalmedian $29 · 10th–90th $12$790%5%10th90th$29$2.0$10.0$50.0$200.0

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 / $15.85 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $162.18
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $15.49 / $51.29
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $22.91 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $12.88 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $23.44 / $45.71
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $44.67
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.51 / $11.75 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $123.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $19.95 / $45.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.62 / $33.11 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $69.18
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $16.60 / $21.88
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$27.54 / $36.31 / $46.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.02 / $64.57
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.55 / $13.18 / $22.39
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$13.80 / $24.55 / $42.66
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $83.18
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$15.49 / $19.05 / $28.84
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$26.30 / $30.90 / $53.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $45.71 / $125.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $15.49 / $48.98
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $30.90 / $85.11
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.24 / $12.30 / $19.05
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $72.44
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.51 / $13.18 / $26.92
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $23.44 / $47.86