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Ohio 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
$478.63 / $741.31 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.88 / $501.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $7,943.28 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $575.44 / $724.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $512.86 / $1,071.52
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $50.12
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $524.81 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $323.59 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $302.00 / $501.19