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Arizona rates for HCPCS 0166U

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utilizing serum, algorithm reported as scores for fibrosis, necroinflammatory activity, and steatosis with a summary interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,000.00 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $912.01 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $426.58 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $389.05 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $407.38