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Virginia 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
$9.77 / $15.04 / $23.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $36.76 / $62.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.76 / $23.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.54 / $22.43 / $39.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.71 / $36.15 / $59.78
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.67 / $12.55 / $20.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.68 / $23.97 / $39.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $33.10 / $41.38
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.35 / $12.56 / $17.57
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.27 / $20.54 / $25.67
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $44.00 / $73.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.36 / $16.63 / $30.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.63 / $27.78 / $47.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $34.83 / $42.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.38 / $11.58 / $13.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.66 / $23.59 / $28.91
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.09 / $17.20 / $37.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $32.00 / $55.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $41.06 / $70.65
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.58 / $18.70 / $26.71
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.09 / $30.09 / $46.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $45.10 / $76.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.49 / $17.70 / $27.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.39 / $28.30 / $49.27