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Oregon rates for HCPCS 91200

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

Facilitymedian $25 · 10th–90th $14$550%20%10th90th$25Professionalmedian $32 · 10th–90th $13$810%5%10th90th$32$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
$14.13 / $24.55 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $41.69 / $165.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.14 / $48.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$16.98 / $23.99 / $45.71
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
$38.90 / $61.66 / $87.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.79 / $20.89 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $39.81 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$21.38 / $23.44 / $26.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $51.29 / $57.54
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.13 / $23.44 / $54.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $95.50
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $23.44 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $46.77 / $64.57
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $46.77
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $70.79 / $93.33
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$16.22 / $25.70 / $33.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$29.51 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $24.55 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $45.71 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $67.61 / $100.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $26.30 / $36.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $41.69 / $64.57