go back

Oklahoma rates for HCPCS 91200

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

Facilitymedian $9 · 10th–90th $9$190%50%90th$9Professionalmedian $23 · 10th–90th $11$440%5%10%10th90th$23$10.0$20.0$50.0$100.0

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
$8.91 / $8.91 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.11 / $53.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.02 / $19.95
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $21.38 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $29.51 / $40.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $52.48
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $17.38 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $25.12 / $31.62
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $16.60 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $25.70 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $39.81 / $57.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.02 / $15.49 / $23.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $23.99 / $35.48