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Oklahoma 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
$380.19 / $501.19 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $501.19 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $302.00