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South Carolina rates for HCPCS 91200

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

Facilitymedian $11 · 10th–90th $10$170%50%10th90th$11Professionalmedian $27 · 10th–90th $11$600%10%10th90th$27$10.0$20.0$50.0$100.0$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
$10.00 / $10.96 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $40.74 / $158.49
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $15.49 / $30.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $23.99 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $42.66 / $60.26
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $15.85 / $22.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.88 / $26.92 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $64.57
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.48 / $16.98 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.42 / $26.30 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $64.57
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$12.30 / $15.49 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.05 / $23.99 / $38.02