go back

Georgia 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
$331.13 / $457.09 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $549.54 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,096.48 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $457.09 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $724.44