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New Jersey 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
$266.80 / $619.17 / $2,879.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.80 / $302.04 / $427.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.07 / $1,109.31 / $2,306.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.85 / $552.36 / $722.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.36 / $251.70 / $302.04
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.44 / $6,950.00 / $8,702.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.87 / $453.06 / $604.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.90 / $302.04 / $515.99