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Vermont rates for HCPCS 91200

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.83 / $39.35 / $40.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.97 / $15.58 / $16.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.86 / $23.76 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.91 / $42.91 / $42.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $47.40 / $111.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.58 / $19.34 / $37.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.46 / $28.66 / $53.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $47.40 / $111.68
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.58 / $19.34 / $37.90
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.46 / $28.66 / $52.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $54.83 / $137.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.44 / $21.34 / $46.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.22 / $32.88 / $90.54