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Michigan 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
$478.63 / $478.63 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $758.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,202.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $676.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $501.19 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $323.59