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Louisiana 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
$537.03 / $724.44 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,122.02 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $562.34 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $457.09 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $549.54