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West 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
$10.35 / $10.35 / $10.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.29 / $35.25 / $60.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $15.02 / $22.48
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.93 / $21.58 / $24.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $29.28 / $61.73
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
$28.03 / $41.25 / $141.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $15.86 / $48.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.19 / $26.17 / $93.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $42.59 / $77.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.13 / $15.57 / $27.27
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.20 / $26.29 / $43.23