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Minnesota 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
$467.74 / $467.74 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $501.19 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $977.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,737.80 / $3,630.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $954.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $776.25 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $501.19 / $1,096.48