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Wyoming 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
$27.97 / $39.35 / $44.12
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.97 / $14.07 / $19.11
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.89 / $23.76 / $30.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $56.00 / $56.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.00 / $19.00 / $19.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.00 / $37.00 / $37.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $55.11 / $89.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.60 / $21.87 / $36.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.62 / $34.39 / $56.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.83 / $66.54 / $111.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.02 / $27.00 / $45.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.81 / $41.18 / $66.01