go back

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
$1,000.00 / $1,318.26 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $954.99 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $602.56 / $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
$229.09 / $457.09 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $549.54