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Wisconsin rates for HCPCS 91200

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

Facilitymedian $13 · 10th–90th $11$520%20%10th90th$13Professionalmedian $33 · 10th–90th $12$1290%5%10%10th90th$33$0.2$1.0$5.0$20.0$100.0$500.0

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
$10.96 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $17.38 / $81.28
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $21.88 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $52.48 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $19.50 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.95 / $33.11 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $23.99 / $37.15
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$26.92 / $31.62 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $79.43 / $107.15
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.80 / $26.92 / $37.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$22.39 / $52.48 / $64.57
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $66.07 / $93.33
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$19.50 / $22.91 / $32.36
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$36.31 / $43.65 / $60.26
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $64.57 / $194.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $25.12 / $69.18
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.90 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $52.48 / $97.72
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $26.92 / $35.48
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $50.12 / $61.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $79.43 / $114.82
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$23.99 / $70.79 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $181.97 / $194.98
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $69.18 / $69.18
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.99 / $109.65 / $128.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $158.49
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$26.30 / $34.67 / $42.66
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$48.98 / $60.26 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $123.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$14.45 / $23.44 / $46.77
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $37.15 / $75.86