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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
$448.48 / $478.23 / $746.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.41 / $597.79 / $773.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.36 / $335.36 / $353.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.36 / $353.01 / $476.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $616.54 / $767.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.23 / $478.23 / $878.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.26 / $483.26 / $604.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.43 / $453.06 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $322.18