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Missouri 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
$489.78 / $851.14 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $371.54 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $588.84 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $870.96 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $588.84