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Texas rates for HCPCS 91200

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

Facilitymedian $9 · 10th–90th $9$850%20%10th90th$9Professionalmedian $24 · 10th–90th $10$560%5%10%10th90th$24$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
$8.51 / $9.33 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $36.31 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $12.88 / $35.48
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.32 / $9.55 / $10.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $21.88 / $38.02
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.20 / $30.90
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $19.05 / $19.05
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
$29.51 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.98 / $28.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $46.77
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $83.18 / $83.18
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $169.82 / $169.82
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$7.94 / $10.00 / $14.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.45 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $25.12 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $81.28
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2.75 / $12.88 / $18.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $44.67 / $75.86
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.47 / $16.98 / $25.70
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $39.81 / $69.18
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $15.14 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $24.55 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $11.22 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $22.91 / $26.92