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Idaho 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
$908.54 / $908.54 / $1,308.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $352.38 / $578.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.82 / $533.35 / $1,963.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.05 / $578.20 / $722.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.20 / $981.63 / $1,040.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $604.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.40 / $503.40 / $503.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.10 / $1,006.80 / $1,812.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.89 / $752.22 / $777.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $211.43 / $604.08