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Massachusetts 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
$354.81 / $1,122.02 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $489.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $371.54 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $851.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,122.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $1,148.15