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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
$533.60 / $726.40 / $2,647.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.55 / $558.77 / $654.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.70 / $251.70 / $251.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.30 / $1,130.70 / $1,672.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.88 / $965.93 / $3,556.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.85 / $578.20 / $722.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.43 / $453.06 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.36 / $251.70 / $755.10