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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
$773.00 / $773.00 / $773.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $352.38 / $372.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.30 / $503.40 / $503.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.72 / $503.40 / $503.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.48 / $1,850.68 / $4,416.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.98 / $734.31 / $966.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.35 / $1,678.40 / $3,477.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $913.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $799.71 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $320.67 / $1,068.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $604.08 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $453.06 / $1,072.08