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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
$427.89 / $676.74 / $1,167.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.89 / $437.96 / $437.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.73 / $346.33 / $891.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.70 / $1,055.91 / $1,199.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $583.98 / $722.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.65 / $654.41 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $568.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.06 / $453.06 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $302.04 / $652.41