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Rhode Island rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $44.98 / $176.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.31 / $13.91 / $63.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.89 / $22.28 / $28.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $34.93 / $65.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.26 / $11.80 / $26.41
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.18 / $23.12 / $24.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.66 / $42.50 / $75.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.94 / $16.13 / $28.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.72 / $27.68 / $47.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $41.83 / $70.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.39 / $17.01 / $29.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.74 / $27.98 / $60.12