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Tennessee rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.40 / $27.59 / $31.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $35.25 / $63.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.11 / $13.66 / $33.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.64 / $21.58 / $34.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $19.48 / $25.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $44.79 / $70.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.54 / $17.80 / $26.28
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.30 / $27.36 / $44.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.90 / $11.90 / $18.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $42.51 / $74.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.14 / $17.21 / $28.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.44 / $26.78 / $45.35
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.00 / $70.00 / $70.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.66 / $195.66 / $254.63
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.84 / $69.84 / $83.70
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.61 / $129.61 / $170.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $43.08 / $76.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.43 / $17.41 / $29.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.86 / $27.27 / $50.52