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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
$912.01 / $912.01 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $933.25 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $1,047.13 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $524.81 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,819.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $602.56