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Mississippi 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
$503.40 / $921.22 / $1,021.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.69 / $397.69 / $397.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.20 / $327.20 / $343.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $578.20 / $722.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $20.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.06 / $453.06 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $251.70 / $755.10