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South Carolina rates for HCPCS 91200

Liver Elastography W/O Imag W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.84 / $10.85 / $15.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $39.35 / $167.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.40 / $15.02 / $28.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.23 / $21.58 / $37.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $41.69 / $49.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $17.38 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $31.67 / $31.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $43.00 / $61.09
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.71 / $16.00 / $23.16
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.69 / $27.00 / $38.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.47 / $41.80 / $65.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.38 / $16.48 / $27.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.36 / $26.23 / $40.72
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.09 / $17.20 / $35.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.19 / $109.19 / $109.19
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.77 / $70.77 / $70.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.48 / $35.14 / $51.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.01 / $40.65 / $60.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.29 / $15.56 / $25.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.44 / $26.18 / $38.29