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North Dakota 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
$352.38 / $352.38 / $906.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $352.38 / $352.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.88 / $1,014.35 / $1,138.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $583.98 / $734.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.38 / $599.04 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $503.40 / $855.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.40 / $503.40 / $503.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $256.73 / $729.93