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Virginia rates for HCPCS 91200

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

Facilitymedian $17 · 10th–90th $9$230%20%10th90th$17Professionalmedian $26 · 10th–90th $11$590%10%10th90th$26$10.0$50.0$200.0$1.0K$5.0K

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
$8.91 / $16.60 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $95.50
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $14.13 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $13.80 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $26.92 / $42.66
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $30.90 / $42.66
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $10.96 / $15.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $22.91 / $32.36
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $72.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $16.60 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $27.54 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $12.88 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $27.54 / $33.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $36.31 / $74.13
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $17.38 / $29.51
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$20.89 / $28.18 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $45.71 / $77.62
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $17.38 / $28.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $28.18 / $48.98