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Nebraska 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
$332.24 / $332.24 / $355.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.24 / $332.24 / $332.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.74 / $576.36 / $1,123.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.57 / $765.16 / $825.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.20 / $913.92 / $1,142.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.04 / $598.03 / $2,391.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.04 / $302.04 / $1,006.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.08 / $920.59 / $1,037.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.58 / $990.66 / $1,313.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.22 / $211.43 / $302.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.94 / $302.04 / $1,006.80